# MIDWEST MEDICAL TRANSPORT COMPANY LLC

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

## Provider details

- **NPI number:** 1538612320
- **Legal business name:** MIDWEST MEDICAL TRANSPORT COMPANY LLC
- **Authorized official:** MR. TIM HOFFMAN (FINANCE DIRECTOR)
- **Authorized official phone:** (402) 800-2934

## Contact information

- **Practice address:** 118 N RUNGER AVENUE, SHELDON, IA 51201-1558
- **Practice address phone:** (712) 631-4333
- **Practice address fax:** (712) 631-4334
- **Mailing address:** 2155 33RD AVE, COLUMBUS, NE 68601-3148
- **Mailing address phone:** (402) 562-6430
- **Mailing address fax:** (402) 563-0937

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 2001400 | IA | Yes |
| 341600000X | Ambulance | 5158 | NE | — |

## Other

- **Enumeration date:** 07/27/2016
- **Last updated:** 07/27/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10026491400 | — | NE |
| 05 | — | 1871991125 | — | IA |