NPIMap

Organization Active NPI

Midwest Medical Transport Company, LLC-Dba Southeast Iowa Ambulance

  • Ambulance
  • Columbus, NE
National Provider Identifier
1346792371
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
2001400 Issued in IA
Legal business name
MIDWEST MEDICAL TRANSPORT COMPANY, LLC-DBA SOUTHEAST IOWA AMBULANCE
Practice address
2155 33Rd Ave
Columbus, NE 68601-3148
Phone
(402) 562-6430
Fax
(402) 563-0937
NPI assigned
Oct 25, 2016
Organization subpart
Yes
Parent organization
MIDWEST MEDICAL TRANSPORT COMPANY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 25, 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) 720-8199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 2001400 IA Primary

Addresses

Primary practice location

2155 33Rd Ave
Columbus, NE 68601-3148

Mailing address

4165 Naples Ave SW Ste 5
Iowa City, IA 52240-8626
Phone (319) 466-0736

Other identifiers 1

IdentifierTypeStateIssuer
1871991125MedicaidIA

National Provider Directory

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

Other organizations with this tax ID 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477353600000",
    "number": "1346792371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4165 NAPLES AVE SW STE 5",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522408626",
            "telephone_number": "319-466-0736",
            "fax_number": "319-466-0740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST MEDICAL TRANSPORT COMPANY, LLC-DBA SOUTHEAST IOWA AMBULANCE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIDWEST MEDICAL TRANSPORT COMPANY, LLC",
        "enumeration_date": "2016-10-25",
        "last_updated": "2016-10-25",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "402-720-8199",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IA",
            "license": "2001400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871991125",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.