Provider Demographics
NPI:1871991125
Name:MIDWEST MEDICAL TRANSPORT COMPANY LLC
Entity type:Organization
Organization Name:MIDWEST MEDICAL TRANSPORT COMPANY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:A
Authorized Official - Last Name:SHULLAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-563-3396
Mailing Address - Street 1:2155 33RD AVENUE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:NE
Mailing Address - Zip Code:68601-3148
Mailing Address - Country:US
Mailing Address - Phone:402-562-6430
Mailing Address - Fax:402-563-0937
Practice Address - Street 1:2155 33RD AVENUE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:NE
Practice Address - Zip Code:68601-3148
Practice Address - Country:US
Practice Address - Phone:402-562-6430
Practice Address - Fax:402-563-0937
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-18
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416A0800XTransportation ServicesAmbulanceAir Transport
No3416L0300XTransportation ServicesAmbulanceLand Transport