NPIMap

Organization Active NPI

Midwest Medical Transport Company LLC

  • Ambulance
  • Atlantic, IA
National Provider Identifier
1760832695
Registry record updated Jun 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
5158 Issued in NE
Legal business name
MIDWEST MEDICAL TRANSPORT COMPANY LLC
Practice address
59706 Airport Rd
Atlantic, IA 50022-8269
Phone
(970) 903-8343
NPI assigned
Jun 22, 2016
Last updated
Jun 22, 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 Jun 22, 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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 5158 NE Primary
Air Ambulance 3416A0800X 2001400 IA

Addresses

Primary practice location

59706 Airport Rd
Atlantic, IA 50022-8269

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
1871991125MedicaidIA
1002649100MedicaidNE

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

59706 Airport Rd
Atlantic, IA 50022
Phone (970) 903-8343

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": "1466553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466553600000",
    "number": "1760832695",
    "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": "59706 AIRPORT RD",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500228269",
            "telephone_number": "970-903-8343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST MEDICAL TRANSPORT COMPANY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIDWEST MEDICAL TRANSPORT COMPANY LLC",
        "enumeration_date": "2016-06-22",
        "last_updated": "2016-06-22",
        "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": true
        },
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "IA",
            "license": "2001400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871991125",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002649100",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.