Provider Demographics
NPI:1982936746
Name:FAMILY FIRST SWIFTCARE LLC
Entity Type:Organization
Organization Name:FAMILY FIRST SWIFTCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:
Authorized Official - Last Name:VANZANTEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-983-1355
Mailing Address - Street 1:850 S HERMITAGE RD
Mailing Address - Street 2:SUITE B15
Mailing Address - City:HERMITAGE
Mailing Address - State:PA
Mailing Address - Zip Code:16148-3625
Mailing Address - Country:US
Mailing Address - Phone:724-983-1355
Mailing Address - Fax:724-981-1605
Practice Address - Street 1:850 S HERMITAGE RD
Practice Address - Street 2:SUITE B15
Practice Address - City:HERMITAGE
Practice Address - State:PA
Practice Address - Zip Code:16148-3625
Practice Address - Country:US
Practice Address - Phone:724-983-1355
Practice Address - Fax:724-981-1605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-04
Last Update Date:2010-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2149269OtherHIGHMARK BS