Provider Demographics
NPI:1841461407
Name:SWIFTS
Entity type:Organization
Organization Name:SWIFTS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:L
Authorized Official - Last Name:SWIFT
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:918-847-3338
Mailing Address - Street 1:PO BOX 873
Mailing Address - Street 2:
Mailing Address - City:BARNSDALL
Mailing Address - State:OK
Mailing Address - Zip Code:74002-0873
Mailing Address - Country:US
Mailing Address - Phone:918-847-3338
Mailing Address - Fax:918-847-3339
Practice Address - Street 1:410 W MAIN
Practice Address - Street 2:
Practice Address - City:BARNSDALL
Practice Address - State:OK
Practice Address - Zip Code:74002-0410
Practice Address - Country:US
Practice Address - Phone:918-847-3338
Practice Address - Fax:918-847-3339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-21
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKOKB5037Medicare PIN