Provider Demographics
NPI:1457648305
Name:TRI SWIFT MEDICAL EQUIPMENT
Entity Type:Organization
Organization Name:TRI SWIFT MEDICAL EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:RCP
Authorized Official - Phone:626-219-6280
Mailing Address - Street 1:235 E BROADWAY
Mailing Address - Street 2:SUITE 424
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90802-3162
Mailing Address - Country:US
Mailing Address - Phone:626-219-6280
Mailing Address - Fax:
Practice Address - Street 1:1017 S MAYO AVE
Practice Address - Street 2:
Practice Address - City:COMPTON
Practice Address - State:CA
Practice Address - Zip Code:90221-4316
Practice Address - Country:US
Practice Address - Phone:626-219-6280
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FIRST GAZELLE CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-06-29
Last Update Date:2011-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARCP 9700332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies