Organization
MIDWEST MEDICAL TRANSPORT COMPANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ED K MATTESON (PRESIDENT)
(708) 308-4133
Entity
Organization
Contact information
Practice address
290 ARMISTICE BLVD, PAWTUCKET, RI 02861-2330
(401) 726-2000
Mailing address
PO BOX 3727, OMAHA, NE 68103-0727
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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