Provider Demographics
NPI:1629831102
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:CFO
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LOHRDING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-674-0177
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:
Mailing Address - Fax:
Practice Address - Street 1:3515 N PROSPECT ST
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-5450
Practice Address - Country:US
Practice Address - Phone:800-563-3396
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-06
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance