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Organization

S-W RESCUE SERVICE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KYLE VANSCOYOC (BOARD PRESIDENT)
(765) 866-0625
Entity
Organization

Contact information

Practice address
ALLEY OFF 3RD STREET, NEW MARKET, IN 47965
(765) 866-0625
Mailing address
PO BOX 2915, ELKHART, IN 46515-2915
(574) 293-3030
(574) 294-1345

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0307
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000246716
ANTHEM
IN
05
100287220A
IN
01
P00142546
RRMC PTAN
Enumeration date
09/27/2006
Last updated
06/17/2008
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