Provider Demographics
NPI:1700882909
Name:SOUTHWESTERN EMERG. MED. SERV. INC.
Entity Type:Organization
Organization Name:SOUTHWESTERN EMERG. MED. SERV. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:PILANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-665-2358
Mailing Address - Street 1:PO BOX 83
Mailing Address - Street 2:
Mailing Address - City:JASONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47438-0083
Mailing Address - Country:US
Mailing Address - Phone:812-665-2358
Mailing Address - Fax:
Practice Address - Street 1:931 E MAIN ST
Practice Address - Street 2:
Practice Address - City:JASONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47438-1617
Practice Address - Country:US
Practice Address - Phone:812-665-2358
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN0463341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance