NPIMap

Organization Active NPI

Midwest Medical Transport Company, LLC-Aberdeen, SD

  • Ambulance
  • Aberdeen, SD
National Provider Identifier
1205387545
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
0627 Issued in SD
Legal business name
MIDWEST MEDICAL TRANSPORT COMPANY, LLC-ABERDEEN, SD
Practice address
2919 Industrial Avenue
Aberdeen, SD 57401
Phone
(605) 554-0221
NPI assigned
Oct 21, 2016
Last updated
Oct 21, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
MIDWEST MEDICAL TRANSPORT COMPANY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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

Authorized official

Name
Mr. Tim Hoffman
Title
Finance Director
Phone
(402) 800-2934

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 0627 SD Primary

Addresses

Primary practice location

2919 Industrial Avenue
Aberdeen, SD 57401

Mailing address

2155 33Rd Ave
Columbus, NE 68601-3148
Phone (402) 562-6430

Other identifiers 2

IdentifierTypeStateIssuer
1002649100MedicaidNE
1871991125MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
Midwest Medical Comp LLC21 organizations share this tax ID, including this one
Part of
Midwest Medical Comp LLC

Other organizations with this tax ID 20

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

View all 20

Locations

2919 Industrial Ave
Aberdeen, SD 57401
Phone (605) 554-0221

NPI Registry JSON

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1205387545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 33RD AVE",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686013148",
            "telephone_number": "402-562-6430",
            "fax_number": "402-563-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 INDUSTRIAL AVENUE",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "57401",
            "telephone_number": "605-554-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST MEDICAL TRANSPORT COMPANY, LLC-ABERDEEN, SD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIDWEST MEDICAL TRANSPORT COMPANY, LLC",
        "enumeration_date": "2016-10-21",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "402-800-2934",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "SD",
            "license": "0627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002649100",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871991125",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.