MIDWEST MEDICAL TRANSPORT COMPANY LLC DBA FRASER TRANSPORTATION SERVI NPI 1235681354

NPI Information

NPI: 1235681354
Provider Name: MIDWEST MEDICAL TRANSPORT COMPANY, LLC DBA FRASER TRANSPORTATION SERVI
Classification: Ambulance - 341600000X
Entity Type: Organization

CLIA Number: 16D2162848

Address:
4780 NE 3RD ST
DES MOINES, IA
ZIP 50313
Phone: (515) 266-7766
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MIDWEST MEDICAL TRANSPORT COMPANY, LLC DBA FRASER TRANSPORTATION SERVI is an ambulance in Des Moines, IA. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). MIDWEST MEDICAL TRANSPORT COMPANY, LLC DBA FRASER TRANSPORTATION SERVI NPI is 1235681354. The provider is registered as an organization entity type.

The provider's business location address is:

4780 NE 3RD ST
DES MOINES, IA
ZIP 50313-362
Phone: (515) 266-7766
Fax: (515) 266-7782

The provider's authorized official is Tim Hoffman .
The authorized official title is Finance Director and has the following contact phone number (402) 720-8199.

The CLIA number assigned to this NPI record is 16D2162848 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/25/2016 and was last updated on 10/25/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	341600000X	Ambulance		2001400	IOWA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	IB3336	MEDICARE UPIN	IOWA
2	1871991125	MEDICAID	IOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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