# MIDWEST MEDICAL TRANSPORT COMPANY, LLC-DBA SOUTHEAST IOWA AMBULANCE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MIDWEST MEDICAL TRANSPORT COMPANY, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1346792371
- **Legal business name:** MIDWEST MEDICAL TRANSPORT COMPANY, LLC
- **Authorized official:** MR. TIM HOFFMAN (FINANCE DIRECTOR)
- **Authorized official phone:** (402) 720-8199

## Contact information

- **Practice address:** 2155 33RD AVE, COLUMBUS, NE 68601-3148
- **Practice address phone:** (402) 562-6430
- **Practice address fax:** (402) 563-0937
- **Mailing address:** 4165 NAPLES AVE SW STE 5, IOWA CITY, IA 52240-8626
- **Mailing address phone:** (319) 466-0736
- **Mailing address fax:** (319) 466-0740

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 2001400 | IA | Yes |

## Other

- **Enumeration date:** 10/25/2016
- **Last updated:** 10/25/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1871991125 | — | IA |