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Contact Information

MIDWEST MEDICAL TRANSPORT COMPANY LLC
705 E DIVISION ST
AUDUBON, IA50025-1316
 Phone: 712-269-6134
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
 

Air Transport

3416A0800X 59 Ambulance Service Provider
 

Land Transport

3416L0300X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for MIDWEST MEDICAL TRANSPORT COMPANY LLC

NPI # 1982069134
LBN Legal business name MIDWEST MEDICAL TRANSPORT COMPANY LLC
Authorized official TIM HOFFMAN - (FINANCE DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/15/2015
Last updated 12/15/2015 - About 10 years ago
Identifiers
IA License # 2001400
NE License # 5158
IA Medicaid 1871991125
NE Medicaid 10026491400
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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