Organization
MIDWEST MEDICAL TRANSPORT COMPANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF A. SHULLAW (GENERAL MANAGER)
(402) 563-3396
Entity
Organization
Contact information
Practice address
2155 33RD AVENUE, COLUMBUS, NE 68601-3148
(402) 562-6430
(402) 563-0937
Mailing address
2155 33RD AVENUE, COLUMBUS, NE 68601-3148
(402) 562-6430
(402) 563-0937
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
3416A0800X
Air Ambulance
—
—
3416L0300X
Land Ambulance
—
—
Other
Enumeration date
12/18/2014
Last updated
07/18/2024
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