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Organization

SOUTHWEST EMS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JENNIFER M REVELS (OFFICE MANAGER)
(800) 451-8036
Entity
Organization

Contact information

Practice address
1311C HIGHWAY 71 N, MENA, AR 71953-8447
(800) 451-8036
(870) 777-8479
Mailing address
PO BOX 1800, MENA, AR 71953-1800
(800) 451-8036
(870) 777-8479

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary

Other

Enumeration date
10/27/2006
Last updated
04/20/2008
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