Provider Demographics
NPI:1689979015
Name:ADVANCED MEDICAL TRANSPORT OF IOWA
Entity Type:Organization
Organization Name:ADVANCED MEDICAL TRANSPORT OF IOWA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:309-497-3787
Mailing Address - Street 1:2228 HEINZ RD
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-2600
Mailing Address - Country:US
Mailing Address - Phone:319-341-7799
Mailing Address - Fax:319-354-5409
Practice Address - Street 1:2228 HEINZ RD
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-2600
Practice Address - Country:US
Practice Address - Phone:319-341-7799
Practice Address - Fax:319-354-5409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-15
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA2520600341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance