Provider Demographics
NPI:1073296893
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:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:CIATTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-696-1027
Mailing Address - Street 1:PO BOX 3727
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68103-0727
Mailing Address - Country:US
Mailing Address - Phone:402-562-6430
Mailing Address - Fax:402-625-0012
Practice Address - Street 1:4780 NE 3RD ST
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50313-2362
Practice Address - Country:US
Practice Address - Phone:402-562-6430
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-09
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance