Provider Demographics
NPI:1558896902
Name:A-TEAM TRANSPORT SERVICES, LLC
Entity Type:Organization
Organization Name:A-TEAM TRANSPORT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:THURMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-397-6719
Mailing Address - Street 1:2700 55TH PL
Mailing Address - Street 2:SUITE 3
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46220-3572
Mailing Address - Country:US
Mailing Address - Phone:317-397-6719
Mailing Address - Fax:
Practice Address - Street 1:2700 55TH PL
Practice Address - Street 2:SUITE 3
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46220-3572
Practice Address - Country:US
Practice Address - Phone:317-397-6719
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-24
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN2150001243343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN300000652Medicaid