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Contact Information

MIDWEST MEDICAL TRANSPORT COMPANY, LLC-SIOUX CITY, IA.
1015 COURT ST
SIOUX CITY, IA51105-1708
 Phone: 402-942-4713
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for MIDWEST MEDICAL TRANSPORT COMPANY, LLC-SIOUX CITY, IA.

NPI # 1588115893
LBN Legal business name MIDWEST MEDICAL TRANSPORT COMPANY, LLC-SIOUX CITY, IA.
Authorized official TIM HOFFMAN - (FINANCE DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/21/2016
Last updated 10/21/2016 - About 10 years ago
Identifiers
IA License # 2001400
IA Medicaid 1871991125
NE Medicaid 1002649100
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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