Provider Demographics
NPI:1679216162
Name:VANGUARD COLLEGIATE OF INDIANAPOLIS
Entity Type:Organization
Organization Name:VANGUARD COLLEGIATE OF INDIANAPOLIS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:MARSHALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-354-7727
Mailing Address - Street 1:2440 W OHIO ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46222-4170
Mailing Address - Country:US
Mailing Address - Phone:317-354-7727
Mailing Address - Fax:317-399-9192
Practice Address - Street 1:2440 W OHIO ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46222-4170
Practice Address - Country:US
Practice Address - Phone:317-354-7727
Practice Address - Fax:317-399-9192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-14
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)