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General NPI Number Information
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NPI Number | 1396487229
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Entity Type | Organization
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Legal Business Name | HEARTLAND MEDICAL TRANSPORT LLC
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Dates
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Enumeration Date | 04/11/2022
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Last Update Date | 02/28/2024
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Provider Practice Location Address
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Address Line | 813 S MILNER ST
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City | OTTUMWA
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State | IA
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Zip | 52501-5333
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Country | US
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Telephone | 641-455-1317
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Fax |
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Provider Business Mailing Address
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Address Line | 619 CHURCH ST # 131
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City | OTTUMWA
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State | IA
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Zip | 52501-4217
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DONALD KRIEGEL
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Credential |
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Telephone | 641-455-1317
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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