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Organization

MIDWEST MEDICAL TRANSPORT COMPANY, LLC-DBA SOUTHEAST IOWA AMBULANCE

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
MR. TIM HOFFMAN (FINANCE DIRECTOR)
(402) 720-8199
Entity
Organization

Contact information

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

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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