Provider Demographics
NPI:1750158663
Name:SWIFT TRANSPORT NEMT
Entity type:Organization
Organization Name:SWIFT TRANSPORT NEMT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LASHAUN
Authorized Official - Middle Name:
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:NEMT-I, BSHA
Authorized Official - Phone:478-294-9794
Mailing Address - Street 1:3388 CLEAR STREAM RUN
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30011-4683
Mailing Address - Country:US
Mailing Address - Phone:478-294-9794
Mailing Address - Fax:
Practice Address - Street 1:3300 HAMILTON MILL RD
Practice Address - Street 2:
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30519-4080
Practice Address - Country:US
Practice Address - Phone:770-217-0678
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-11
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)