# MIDWEST MEDICAL TRANSPORT COMPANY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southeast Iowa Ambulance
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073296893
- **Authorized official:** CHRISTOPHER DAVID CIATTO (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (215) 696-1027

## Contact information

- **Practice address:** 4780 NE 3RD ST, DES MOINES, IA 50313-2362
- **Practice address phone:** (402) 562-6430
- **Mailing address:** PO BOX 3727, OMAHA, NE 68103-0727
- **Mailing address phone:** (402) 562-6430
- **Mailing address fax:** (402) 625-0012

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | — | — | Yes |

## Other

- **Enumeration date:** 08/09/2023
- **Last updated:** 08/09/2023
