Organization
MIDWEST MEDICAL TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ED K MATTESON (PRESIDENT)
(708) 308-4113
Entity
Organization
Contact information
Practice address
5792 ARROWHEAD DR, VIRGINIA BEACH, VA 23462-3219
(800) 562-3396
Mailing address
PO BOX 3727, OMAHA, NE 68103-0727
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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