MEDICARE: SWIFT CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1699042556
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SWIFT CARE

Provider Business Mailing Address
First Line	:	2900 EASY AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90810-2847
Country	:	US
Telephone Number	:	714-675-8714
Fax Number	:

Provider Business Practice Location Address
First Line	:	2900 EASY AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90810-2847
Country	:	US
Telephone Number	:	714-675-8714
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	GARY H ACOSTA
Credential	:
Telephone Number	:	714-675-8714

Provider Enumeration Date	:	11/21/2011
Last Update Date	:	11/21/2011

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Directions to “SWIFT CARE ” Practice Location

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