LIFEGUARD AMBULANCE SERVICE LLC (NPI# 1407274947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407274947 |
| Entity Type | Organization |
| Organization Name | LIFEGUARD AMBULANCE SERVICE LLC |
| Practice Address |
1006 Dutch Valley Dr Ste B Knoxville TN 37918-7082 |
| Mailing Address |
Po Box 198408 Atlanta GA 30384-8408 |
| Practice Telephone | 8656371800 |
| Mailing Telephone | 3034951748 |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2020-06-10 |
| Authorized Official Name | ERIC THOMAS (SVP OF REVENUE MANAGEMENT) |
| Authorized Official Telephone | 8772885340 |
| Is Organization Subpart | Y |
| Parent Organization Name | LIFEGUARD AMBULANCE SERVICE LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 341600000X | Ambulance | Transportation Services | ||
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437770187 | Lifeguard Ambulance Service LLC | Ambulance | 121 Forest Service Dr, Bakersville, NC 28705-7047 | 2020-05-05 |
| 1649820937 | Lifeguard Ambulance Service LLC | Ambulance | 145 Medical Center Dr, Gaffney, SC 29340-4823 | 2019-09-18 |
| 1427613801 | Lifeguard Ambulance Service LLC | Ambulance | 950 22nd St N Ste 800, Birmingham, AL 35203-5307 | 2019-05-01 |
| 1982198289 | Lifeguard Ambulance Service LLC | Ambulance | 3111 Meeting Street Rd Unit A, North Charleston, SC 29405-7980 | 2018-06-20 |
| 1407361512 | Lifeguard Ambulance Service LLC | Ambulance | 3908 Highway 9, Cheraw, SC 29520-6681 | 2017-12-12 |
| 1528596814 | Lifeguard Ambulance Service LLC | Ambulance | 543 Highway 6 W, Batesville, MS 38606-9519 | 2017-05-31 |
| 1386188829 | Lifeguard Ambulance Service LLC | Ambulance | 118 N Kansas St, Weatherford, OK 73096-5442 | 2016-12-16 |
| 1891240859 | Lifeguard Ambulance Service LLC | Ambulance | 106 Highway 59 S, Summerdale, AL 36580-3690 | 2016-08-19 |
| 1912359068 | Lifeguard Ambulance Service LLC | Ambulance | 2955 Colonial Dr, Columbia, SC 29203-6811 | 2016-07-12 |
| 1477902344 | Lifeguard Ambulance Service LLC | Ambulance | 1031 W 5th St, Elk City, OK 73644-5613 | 2016-06-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LIFEGUARD AMBULANCE SERVICE LLC | 209 State Highway 121 Byp, Lewisville, TX 75067-4151 |
| Street Address |
1006 DUTCH VALLEY DR STE B |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37918-7082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639636145 | Samantha Fuhrmann | Physical Therapy Assistant | Beverly Park Place Health and Rehab, 5321 Beverly Park Circle, Knoxville, TN 37918 | 2019-02-21 |
| 1043701741 | Lauren Lea Wilson | Student in an Organized Health Care Education/Training Program | 4230 Homewood Rd, Knoxville, TN 37918 | 2018-05-29 |
| 1164790317 | Jennifer Young Brooks | Pharmacist | 5006 North Broadway, Knoxville, TN 37918 | 2011-12-02 |
| 1215213194 | Lu Miller | Pharmacist | 5006 N Broadway, Knoxville, TN 37918 | 2011-10-24 |
| 1326353475 | Lauren Joy Stone | Optometrist | 4829 N Broadway St Ste 103, Knoxville, TN 37918 | 2010-08-13 |
| 1699004531 | Larry Kyle Sowder | Dentist | 2944 Tazewell Pk, Ste #2, Knoxville, TN 37918 | 2009-12-23 |
| 1922233881 | Andrea' Lamar Farrior | Dentist | 2937 Essary Rd., Dr. Michael Edenfield, Knoxville, TN 37918 | 2009-05-21 |
| 1053558510 | Love-hope Academy | Counselor | 3826 Tiberius Rd Ste 315, Knoxville, TN 37918 | 2009-01-20 |
| 1497910293 | Diana Lynn Mccoy | Psychologist | 5019 Jacksboro Pike, Knoxville, TN 37918 | 2008-07-22 |
| 1740498088 | Kathleen M Riley | Pharmacist | K-mart Pharmacy #7460, 6906 Manardville Pike Ne, Knoxville, TN 37918 | 2007-05-18 |
| Find all providers in zip 37918 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598840613 | City of Knoxville | Ambulance | 305 S 3rd St, Knoxville, IA 50138-2255 | 2006-10-26 |
| 1942263728 | Crawford County Commissioners | Ambulance | 840 E Agency St, Knoxville, GA 31050-2049 | 2006-04-11 |
| 1659350809 | Professional Medical Transport | Ambulance | 1335 Callahan Dr., Knoxville, TN 37912-1204 | 2006-01-14 |
| 1356761589 | Shoals Ambulance LLC | Ambulance | 910 Callahan Dr, Suite 101, Knoxville, TN 37912-1347 | 2014-04-28 |
| 1760476659 | East Tennessee Children's Hospital Association, Inc. | Ambulance | 2018 W Clinch Ave, Knoxville, TN 37916-2301 | 2005-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023634557 | Englewood Rural Fire Department | Ambulance | 107 Carroll St, Englewood, TN 37329-3295 | 2020-06-20 |
| 1528693439 | Advantage Care Ems | Ambulance | 1309 Briarville Rd Ste 202, Madison, TN 37115-5132 | 2020-03-11 |
| 1669028551 | City of Martin Tennessee | Ambulance | 106 Neal St, Martin, TN 38237-2418 | 2019-08-15 |
| 1861900961 | First Call Ambulance LLC | Ambulance | 627 Old Hickory Blvd, Old Hickory, TN 37138-3162 | 2018-01-11 |
| 1710495858 | Lifetech Ambulance, LLC | Ambulance | 2874 Shelby St Ste 150, Bartlett, TN 38134 | 2018-01-10 |
| 1154849115 | Lifeline Ambulance Service, Inc. | Ambulance | 1110 Highway 33 S, New Tazewell, TN 37825-7027 | 2017-08-30 |
| 1417487786 | Firstcare Ambulance Service, LLC | Ambulance | 5155 Wilfong Rd, Memphis, TN 38134-5611 | 2017-06-19 |
| 1083158570 | Shelby County Government | Ambulance | 1075 Mullins Station Rd, Bldg. C, 2nd Floor, Memphis, TN 38134-7730 | 2016-12-19 |
| 1245789452 | Americare Emergency Medical Service, LLC | Ambulance | 1321 Murfreesboro Pike Ste 601, Nashville, TN 37217-2677 | 2016-09-28 |
| 1851844633 | Med Transport Memphis, LLC | Ambulance | 1005 Tillman St Ste 213, Memphis, TN 38112-2038 | 2016-07-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LIFEGUARD AMBULANCE SERVICE LLC.
| 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.