Provider Demographics
NPI:1225184864
Name:MIDWEST AMBULANCE SERVICE OF IOWA INC
Entity Type:Organization
Organization Name:MIDWEST AMBULANCE SERVICE OF IOWA INC
Other - Org Name:MIDWEST VOICE OF HELP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KIM
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:CHAPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-252-1721
Mailing Address - Street 1:2535 106TH ST
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50322-3766
Mailing Address - Country:US
Mailing Address - Phone:515-252-1721
Mailing Address - Fax:515-252-1725
Practice Address - Street 1:1229 OHIO ST
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50314-3116
Practice Address - Country:US
Practice Address - Phone:515-244-0409
Practice Address - Fax:515-243-4932
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MIDWEST AMBULANCE SERVICE OF IOWA INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-26
Last Update Date:2008-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA27720003416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA590002595OtherRAILROAD MEDICARE
IA0218537Medicaid
IA0108563Medicaid
IA0218537Medicaid