Healthcare Provider Details

I. General information

NPI: 1558533109
Provider Name (Legal Business Name): SWIFT TRANSPORTATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2008
Last Update Date: 03/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14605 32ND PL SW
LYNNWOOD WA
98087-3410
US

IV. Provider business mailing address

14605 32ND PL SW
LYNNWOOD WA
98087-3410
US

V. Phone/Fax

Practice location:
  • Phone: 703-300-0361
  • Fax:
Mailing address:
  • Phone: 703-300-0361
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number046WSH
License Number StateWA

VIII. Authorized Official

Name: MARTHA AYENEW
Title or Position: OPERATING MANAGER
Credential:
Phone: 703-300-0361