Healthcare Provider Details

I. General information

NPI: 1477490381
Provider Name (Legal Business Name): MIDWEST MEDICAL TRANSPORT COMPANY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 TRANSFER DR
INDIANAPOLIS IN
46214-2994
US

IV. Provider business mailing address

PO BOX 3727
OMAHA NE
68103-0727
US

V. Phone/Fax

Practice location:
  • Phone: 402-562-6430
  • Fax: 402-625-0012
Mailing address:
  • Phone: 402-562-6430
  • Fax: 402-625-0012

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: LACEY R SCHOLL
Title or Position: BILLING DIRECTOR
Credential:
Phone: 402-910-5718