Provider Demographics
NPI:1538855317
Name:SWIFT VALLEY NEMT, LLC
Entity type:Organization
Organization Name:SWIFT VALLEY NEMT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:GEOGERIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-289-0361
Mailing Address - Street 1:8636 BANTON CIR
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95624-3946
Mailing Address - Country:US
Mailing Address - Phone:916-308-2091
Mailing Address - Fax:
Practice Address - Street 1:8636 BANTON CIR
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95624-3946
Practice Address - Country:US
Practice Address - Phone:916-728-0126
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-13
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)