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Organization

EMS SOUTHWEST INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID DERNAR (PRESIDENT)
(724) 325-4003
Entity
Organization

Contact information

Practice address
590 ROLLING MEADOWS RD, WAYNESBURG, PA 15370-2510
(724) 627-6097
(724) 852-3185
Mailing address
590 ROLLING MEADOWS ROAD, WAYNESBURG, PA 15370
(724) 852-2208
(724) 852-3185

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
04009
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0015087900004
PA
Enumeration date
07/19/2005
Last updated
09/15/2017
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