Organization
MIDWEST MEDICAL TRANSPORT COMPANY, LLC DBA FRASER TRANSPORTATION SERVI
Active
Parent organization
MIDWEST MEDICAL TRANSPORT COMPANY, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIDWEST MEDICAL TRANSPORT COMPANY, LLC
Authorized official
TIM HOFFMAN (FINANCE DIRECTOR)
(402) 720-8199
Entity
Organization
Contact information
Practice address
4780 NE 3RD ST, DES MOINES, IA 50313-2362
(515) 266-7766
(515) 266-7782
Mailing address
2155 33RD AVE, COLUMBUS, NE 68601-3148
(402) 562-6430
(402) 563-0937
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
2001400
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871991125
—
IA
Enumeration date
10/25/2016
Last updated
10/25/2016
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