Provider Demographics
NPI:1336372044
Name:MIDWEST SPECIAL SERVICES, INC.
Entity Type:Organization
Organization Name:MIDWEST SPECIAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MYNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBLEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:1308-367-4338
Mailing Address - Street 1:PO BOX 82
Mailing Address - Street 2:
Mailing Address - City:CURTIS
Mailing Address - State:NE
Mailing Address - Zip Code:69025-0082
Mailing Address - Country:US
Mailing Address - Phone:308-367-4338
Mailing Address - Fax:308-367-4333
Practice Address - Street 1:404 W 2ND ST
Practice Address - Street 2:
Practice Address - City:CURTIS
Practice Address - State:NE
Practice Address - Zip Code:69025-5501
Practice Address - Country:US
Practice Address - Phone:308-367-4338
Practice Address - Fax:308-367-4333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-27
Last Update Date:2009-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEB1351343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE100251016Medicaid