Provider Demographics
NPI:1396563201
Name:ATIN RESOURCE COMPANY OF INDIANA
Entity type:Organization
Organization Name:ATIN RESOURCE COMPANY OF INDIANA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HARVEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-486-3107
Mailing Address - Street 1:55 S STATE AVE STE 363
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46201-3896
Mailing Address - Country:US
Mailing Address - Phone:317-486-3107
Mailing Address - Fax:
Practice Address - Street 1:55 S STATE AVE STE 363
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46201-3896
Practice Address - Country:US
Practice Address - Phone:317-486-3107
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No342000000XTransportation ServicesTransportation Network Company
No347E00000XTransportation ServicesTransportation Broker