Provider Demographics
NPI:1386634442
Name:SOUTHWEST EMS INC
Entity Type:Organization
Organization Name:SOUTHWEST EMS INC
Other - Org Name:SWEMS, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:F
Authorized Official - Last Name:HINES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-394-5400
Mailing Address - Street 1:1311C HIGHWAY 71 N
Mailing Address - Street 2:
Mailing Address - City:MENA
Mailing Address - State:AR
Mailing Address - Zip Code:71953-8447
Mailing Address - Country:US
Mailing Address - Phone:479-394-7300
Mailing Address - Fax:479-394-3555
Practice Address - Street 1:1311C HIGHWAY 71 N
Practice Address - Street 2:
Practice Address - City:MENA
Practice Address - State:AR
Practice Address - Zip Code:71953-8447
Practice Address - Country:US
Practice Address - Phone:479-394-7300
Practice Address - Fax:479-394-3555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-28
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR731146L00000X
AR529146L00000X
AR705146L00000X
AR864146L00000X
AR874146L00000X
AR875146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, ParamedicGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR149219715Medicaid
AR47356Medicare ID - Type UnspecifiedPROVIDER ID