MEDICARE: MIDWEST OPTIMAL TRANSPORTATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	347C00000X	Private Vehicle

General Provider Information

NPI Number	:	1710824909
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIDWEST OPTIMAL TRANSPORTATION

Provider Business Mailing Address
First Line	:	22 WOOD ST
Second Line	:
City	:	PARK HILLS
State	:	MO
Zip	:	63601-4526
Country	:	US
Telephone Number	:	573-952-0994
Fax Number	:

Provider Business Practice Location Address
First Line	:	22 WOOD ST
Second Line	:
City	:	PARK HILLS
State	:	MO
Zip	:	63601-4526
Country	:	US
Telephone Number	:	573-952-0994
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JENNIFER MICHELLE HIERRO
Credential	:	HIERRO
Telephone Number	:	573-952-0994

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	05/04/2026

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Directions to “MIDWEST OPTIMAL TRANSPORTATION ” Practice Location

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