MEDICARE: SWIFT RIDES LLC.

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	343800000X	Secured Medical Transport (VAN)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	802938237	OTHER		SOS

General Provider Information

NPI Number	:	1962990622
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SWIFT RIDES LLC.

Provider Business Mailing Address
First Line	:	6934 E BEN WHITE BLVD APT 8206
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78741-0038
Country	:	US
Telephone Number	:	512-938-9057
Fax Number	:

Provider Business Practice Location Address
First Line	:	6934 E BEN WHITE BLVD APT 8206
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78741-0038
Country	:	US
Telephone Number	:	512-938-9057
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	DAWIT S FSHAYE
Credential	:
Telephone Number	:	512-938-9057

Provider Enumeration Date	:	04/28/2018
Last Update Date	:	04/28/2018

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Directions to “SWIFT RIDES LLC. ” Practice Location

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