Healthcare Provider Details

I. General information

NPI: 1841461407
Provider Name (Legal Business Name): SWIFTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2008
Last Update Date: 11/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 W MAIN
BARNSDALL OK
74002-0410
US

IV. Provider business mailing address

PO BOX 873
BARNSDALL OK
74002-0873
US

V. Phone/Fax

Practice location:
  • Phone: 918-847-3338
  • Fax: 918-847-3339
Mailing address:
  • Phone: 918-847-3338
  • Fax: 918-847-3339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MICHELE L SWIFT
Title or Position: OWNER
Credential: LPN
Phone: 918-847-3338