Organization
MIDWEST MEDICAL TRANSPORT COMPANY LLC
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) 800-2934
Entity
Organization
Contact information
Practice address
2110 23RD AVE STE A, COUNCIL BLUFFS, IA 51501-7054
(402) 432-2216
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
10026491400
NE
341600000X
Ambulance
5158
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026491400
—
NE
05
—
1871991125
—
IA
Enumeration date
12/23/2015
Last updated
12/23/2015
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