NPIMap

Organization Active NPI

Midwest Medical Transport Company LLC

  • Ambulance
  • Council Bluffs, IA
National Provider Identifier
1740645332
Registry record updated Dec 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
10026491400 Issued in NE
Legal business name
MIDWEST MEDICAL TRANSPORT COMPANY LLC
Practice address
2110 23Rd Ave Ste a
Council Bluffs, IA 51501-7054
Phone
(402) 432-2216
NPI assigned
Dec 23, 2015
Organization subpart
Yes
Parent organization
MIDWEST MEDICAL TRANSPORT COMPANY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 23, 2015

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 5158 NE
Ambulance 341600000X 10026491400 NE Primary

Addresses

Primary practice location

2110 23Rd Ave Ste a
Council Bluffs, IA 51501-7054

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
10026491400MedicaidNE
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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450828800000",
    "number": "1740645332",
    "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": "2110 23RD AVE STE A",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515017054",
            "telephone_number": "402-432-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST MEDICAL TRANSPORT COMPANY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIDWEST MEDICAL TRANSPORT COMPANY LLC",
        "enumeration_date": "2015-12-23",
        "last_updated": "2015-12-23",
        "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": "NE",
            "license": "5158",
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NE",
            "license": "10026491400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026491400",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871991125",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; 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.