Healthcare Provider Details

I. General information

NPI: 1235998626
Provider Name (Legal Business Name): MIDWEST MEDICAL TRANSPORT COMPANY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2024
Last Update Date: 03/18/2024
Certification Date: 03/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3198 MERCIER ST
KANSAS CITY MO
64111-3632
US

IV. Provider business mailing address

PO BOX 3727
OMAHA NE
68103-0727
US

V. Phone/Fax

Practice location:
  • Phone: 800-563-3396
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: BRIAN LOHRDING
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 615-867-1111