NPIMap

Organization Active NPI

S-W Rescue Service, Inc.

  • Land Ambulance
  • New Market, IN
National Provider Identifier
1821189960
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0307 Issued in IN
Legal business name
S-W RESCUE SERVICE, INC.
Practice address
Alley Off 3Rd Street
New Market, IN 47965
Phone
(765) 866-0625
NPI assigned
Sep 27, 2006
Last updated
Jun 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Kyle Vanscoyoc
Title
Board President
Phone
(765) 866-0625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0307 IN Primary

Addresses

Primary practice location

Alley Off 3Rd Street
New Market, IN 47965

Mailing address

PO Box 2915
Elkhart, IN 46515-2915
Phone (574) 293-3030

Other identifiers 3

IdentifierTypeStateIssuer
000000246716OtherINANTHEM
100287220AMedicaidIN
P00142546OtherRRMC PTAN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1821189960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2915",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465152915",
            "telephone_number": "574-293-3030",
            "fax_number": "574-294-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ALLEY OFF 3RD STREET",
            "city": "NEW MARKET",
            "state": "IN",
            "postal_code": "47965",
            "telephone_number": "765-866-0625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S-W RESCUE SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "VANSCOYOC",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "BOARD PRESIDENT",
        "authorized_official_telephone_number": "765-866-0625"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IN",
            "license": "0307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000246716",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100287220A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC PTAN",
            "identifier": "P00142546",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Market, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.