Organization Active NPI

Southwest EMS Inc

  • Paramedic
  • Mena, AR
National Provider Identifier
1386634442
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ParamedicTaxonomy code 146L00000X
License
875 Issued in AR
Legal business name
SOUTHWEST EMS INC
Doing business as
SWEMS, INC.
Practice address
1311C Highway 71 N
Mena, AR 71953-8447
Phone
(479) 394-7300
Fax
(479) 394-3555
NPI assigned
Oct 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Robert F Hines
Title
Owner
Phone
(479) 394-5400

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
ParamedicGroup: 193200000X MULTI-SPECIALTY GROUP 146L00000X 731 AR
ParamedicGroup: 193200000X MULTI-SPECIALTY GROUP 146L00000X 529 AR
ParamedicGroup: 193200000X MULTI-SPECIALTY GROUP 146L00000X 705 AR
ParamedicGroup: 193200000X MULTI-SPECIALTY GROUP 146L00000X 864 AR
ParamedicGroup: 193200000X MULTI-SPECIALTY GROUP 146L00000X 874 AR
ParamedicGroup: 193200000X MULTI-SPECIALTY GROUP 146L00000X 875 AR Primary

Addresses

Primary practice location

1311C Highway 71 N
Mena, AR 71953-8447

Mailing address

1311C Highway 71 N
Mena, AR 71953-8447
Phone (479) 394-7300

Other identifiers 1

IdentifierTypeStateIssuer
149219715MedicaidAR

Other names 1

  • SWEMS, INC. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040316000935 AR Part B Supplier - Ambulance Service Supplier 7618867540 Practice locations: Mena, AR; Mt. Ida, AR; Van Buren, AR; De Queen, AR

National Provider Directory

National Provider Directory

Locations

1305 W Maple Ave
De Queen, AR 71832
Phone (870) 642-8914

2401 Alma Hwy
Van Buren, AR 72956
Phone (479) 471-7401

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1386634442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311C HIGHWAY 71 N",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719538447",
            "telephone_number": "479-394-7300",
            "fax_number": "479-394-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311C HIGHWAY 71 N",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719538447",
            "telephone_number": "479-394-7300",
            "fax_number": "479-394-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST EMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-28",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-394-5400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "AR",
            "license": "731",
            "primary": false
        },
        {
            "code": "146L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "AR",
            "license": "529",
            "primary": false
        },
        {
            "code": "146L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "AR",
            "license": "705",
            "primary": false
        },
        {
            "code": "146L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "AR",
            "license": "864",
            "primary": false
        },
        {
            "code": "146L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "AR",
            "license": "874",
            "primary": false
        },
        {
            "code": "146L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "AR",
            "license": "875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149219715",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SWEMS, INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mena, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.