NPIMap

Organization Active NPI

Midwest Medical Transport Company LLC

Doing business as Southeast Iowa Ambulance

  • Ambulance
  • Des Moines, IA
National Provider Identifier
1073296893
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
MIDWEST MEDICAL TRANSPORT COMPANY LLC
Doing business as
Southeast Iowa Ambulance
Practice address
4780 NE 3Rd St
Des Moines, IA 50313-2362
Phone
(402) 562-6430
NPI assigned
Aug 9, 2023
Last updated
Aug 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Christopher David Ciatto
Title
Chief Executive Officer
Phone
(215) 696-1027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

4780 NE 3Rd St
Des Moines, IA 50313-2362

Mailing address

PO Box 3727
Omaha, NE 68103-0727
Phone (402) 562-6430

Other names 1

  • Southeast Iowa Ambulance Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150501000289 IA Part B Supplier - Ambulance Service Supplier 5496070187 1 other NPI on this enrollment
Practice locations: Atlantic, IA; Des Moines, IA; Iowa City, IA; Missouri Valley, IA; Sioux City, IA

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Midwest Medical Transport Company LLC Dba Fraser Transportation Servi21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Ownership & related parties

Subparts reporting this organization as parent 8

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1073296893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3727",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681030727",
            "telephone_number": "402-562-6430",
            "fax_number": "402-625-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4780 NE 3RD ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503132362",
            "telephone_number": "402-562-6430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST MEDICAL TRANSPORT COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-07-28",
        "status": "A",
        "authorized_official_last_name": "CIATTO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "215-696-1027"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southeast Iowa Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.