Organization
SOUTHWEST MEDICAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE G SCHUETZ (OWNER)
(812) 486-6809
Entity
Organization
Contact information
Practice address
210 S MERIDIAN ST, WASHINGTON, IN 47501
(812) 254-7474
(812) 254-7772
Mailing address
PO BOX 589, MADISONVILLE, KY 42431-5011
(270) 824-8123
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0362
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000186416
ANTHEM
IN
05
—
100289200A
—
IN
Enumeration date
01/18/2007
Last updated
01/07/2019
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