LIFEGUARD INTERNATIONAL (NPI# 1174541098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174541098 |
| Entity Type | Organization |
| Organization Name | LIFEGUARD INTERNATIONAL |
| Other Organization Name | LIFEGUARD AIR AMBULANCE |
| Practice Address |
4211 Jerry L Maygarden Rd Pensacola FL 32504-5029 |
| Practice Telephone | 8504736776 |
| Practice Fax Number | 8504736772 |
| Mailing Telephone | 8504736776 |
| Mailing Fax Number | 8504736772 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOHN WILLIAM ROCHE (PRESIDENT) |
| Authorized Official Telephone | 8504736776 |
| Authorized Official Credential | EMT-P |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416A0800X |
Ambulance Specialization: Air Transport |
2680 | FL | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD FL | A0586 | 01 |
| Other Name | Type Code |
|---|---|
| Lifeguard Air Ambulance | Former Legal Business Name - Organization |
| Street Address |
4211 JERRY L MAYGARDEN RD |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32504-5029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396193223 | Med-trans Corporation | Ambulance | 4211 Jerry L Maygarden Rd, Pensacola, FL 32504-5029 | 2016-06-01 |
| 1437564986 | Eaglemed LLC | Ambulance | 4211 Jerry L Maygarden Rd, Pensacola, FL 32504-5029 | 2014-06-24 |
| 1962582569 | Lifeguard Air Ambulance, Inc | Ambulance | 4211 Jerry L Maygarden Rd, Pensacola, FL 32504-5029 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659978393 | Quinyatta Stride | Behavior Technician | 2511 Creighton Rd., Pensacola, FL 32504 | 2020-10-06 |
| 1962017657 | Pt Solutions of Pensacola LLC | Occupational Therapist | 2114 Creighton Rd, Ste C, Pensacola, FL 32504 | 2020-09-10 |
| 1982226742 | Elevate Behavioral Solutions | Behavioral Analyst | 4045 Renoir St, Pensacola, FL 32504 | 2020-05-14 |
| 1760021349 | Veteran Evaluations of Florida | Internal Medicine | 2411 Executive Plaza Drive, Suite A, Pensacola, FL 32504 | 2019-12-31 |
| 1215575527 | First City Health LLC | Pharmacy | 6005 College Parkway, Suite 1, Pensacola, FL 32504 | 2019-12-17 |
| 1184261158 | Claire Ann Letendre | Audiologist | 5153 N 9th Ave Pediatric Off Building, Pensacola, FL 32504 | 2019-12-09 |
| 1083275101 | Benjamin Mcmillon | Chiropractor | 2629 Creighton Road, Suite 1, Pensacola, FL 32504 | 2019-06-28 |
| 1407342595 | Faryal Munir | Student in an Organized Health Care Education/Training Program | Uf Pediatric Residency 5151 North 9th Ave, 6th Floor Nemours, Pensacola, FL 32504 | 2018-07-02 |
| 1497252050 | Sibyl Tenille Page | Nurse Practitioner | 5147 N 9th Ave Ste 322, Pensacola, FL 32504 | 2018-04-10 |
| 1396272589 | Sacred Heart Hospital | General Acute Care Hospital | 2552 Carmel Heights Rd, Pensacola, FL 32504 | 2017-05-18 |
| Find all providers in zip 32504 | ||||
| Taxonomy Code | 3416A0800X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Air Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033660501 | Rocky Mountain Holdings, LLC | Ambulance | 1000 W Moreno St, Pensacola, FL 32501 | 2016-10-20 |
| 1396193223 | Med-trans Corporation | Ambulance | 4211 Jerry L Maygarden Rd, Pensacola, FL 32504-5029 | 2016-06-01 |
| 1437564986 | Eaglemed LLC | Ambulance | 4211 Jerry L Maygarden Rd, Pensacola, FL 32504-5029 | 2014-06-24 |
| 1912043365 | Baptist Hospital Inc | Ambulance | 1000 W Moreno St, Pensacola, FL 32501-2316 | 2007-01-30 |
| 1962582569 | Lifeguard Air Ambulance, Inc | Ambulance | 4211 Jerry L Maygarden Rd, Pensacola, FL 32504-5029 | 2006-10-17 |
| 1922032424 | Sacred Heart Health System, Inc. | Ambulance | 5151 N 9th Ave, Pensacola, FL 32504-8721 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483981 | Rocky Mountain Holdings, LLC | Ambulance | 8701 Airport Blvd Ste 101, Leesburg, FL 34788-4035 | 2020-09-30 |
| 1801425251 | Global Jetcare, Inc. | Ambulance | 15421 Technology Dr, Brooksville, FL 34604-0634 | 2020-04-07 |
| 1487280509 | Med-trans Corporation | Ambulance | 8901 Airway Blvd, New Port Richey, FL 34654-5101 | 2020-03-20 |
| 1144856402 | Med-trans Corporation | Ambulance | 2535 Rescue Way, Brooksville, FL 34604-6996 | 2020-03-19 |
| 1992359970 | Global Medical Escorts, LLC | Ambulance | 510 Ne 46th St, Fort Lauderdale, FL 33334-2337 | 2019-07-29 |
| 1184277576 | Flying Nurses International LLC | Ambulance | 250 Palm Coast Pkwy Ne Ste 607-265, Palm Coast, FL 32137-8224 | 2019-07-24 |
| 1295203412 | All Care Medtran, LLC | Ambulance | 3900 Aero Pl, Lakeland, FL 33811-1236 | 2018-11-06 |
| 1033604376 | Phi Health, LLC | Ambulance | 7154 E England Blvd, Inverness, FL 34452-6765 | 2018-06-28 |
| 1528599495 | Global Medical Assistance, LLC | Ambulance | 8801 Hunters Lake Dr, Unit 1212, Tampa, FL 33647-2847 | 2017-03-23 |
| 1619416880 | Med-trans Corporation | Ambulance | 550 Highway 2300, Southport, FL 32409-1293 | 2017-02-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.