LIFEGUARD AMBULANCE SERVICE LLC (NPI# 1528596814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528596814 |
| Entity Type | Organization |
| Organization Name | LIFEGUARD AMBULANCE SERVICE LLC |
| Practice Address |
543 Highway 6 W Batesville MS 38606-9519 |
| Mailing Address |
Po Box 198408 Atlanta GA 30384-8408 |
| Practice Telephone | 6625614640 |
| Mailing Telephone | 3034951748 |
| Enumeration Date | 2017-05-31 |
| 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 |
| 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 |
| 1760831630 | Lifeguard Ambulance Service LLC | Ambulance | 630 Purvis Oloh Rd, Purvis, MS 39475-4284 | 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 |
543 HIGHWAY 6 W |
| City | BATESVILLE |
| State | MS |
| Zip Code | 38606-9519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245895796 | Vynshay Nance | Counselor | 156 and 158 Highway 51 North, Batesville, MS 38606 | 2019-05-09 |
| 1134784853 | Takisha Marsha Harris | Counselor | 516 Hwy 51 North, Batesville, MS 38606 | 2019-05-08 |
| 1275002974 | Darryl Dewayne Faulkkner | Counselor | 156 & 158 Highway 51 North, Batesville, MS 38606 | 2018-11-26 |
| 1104300854 | Willow Pain and Wellness, LLC | Clinic/Center | 255 Medical Center Dr., Batesville, MS 38606 | 2018-09-19 |
| 1265925432 | Dawander L Smith | Counselor | 156 & 158 Higway 51, Batesville, MS 38606 | 2018-06-12 |
| 1386154458 | Lukeither Denise Morgan | Social Worker | 156 & 158 Hwy 51 North, Batesville, MS 38606 | 2017-10-03 |
| 1841724820 | Batesville Regional Medical Center, Inc. | Clinic/Center | 255 Medical Center Drive Suite B, Batesville, MS 38606 | 2017-04-17 |
| 1013469816 | Alliance Health Partners LLC | Obstetrics & Gynecology | 255 Medical Center Dr, Suite B, Batesville, MS 38606 | 2016-10-27 |
| 1114310877 | Elizabeth White | Nurse Practitioner | 171-a Lakewood Drive, Batesville, MS 38606 | 2015-03-05 |
| 1689979528 | L Cooper Lewis | Physical Therapist | 640 Keating Road, Fairfield, Batesville, MS 38606 | 2011-01-25 |
| Find all providers in zip 38606 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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|---|---|---|---|---|
| 1417190026 | Morris Fireman's Association, Inc | Ambulance | 4702 Church St., Batesville, IN 47006 | 2009-04-13 |
| 1033123674 | City of Batesville Indiana | Ambulance | 115 E Catherine St, Batesville, IN 47006-1338 | 2006-07-28 |
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| 1538604970 | Priority Medical Transportation, Inc. | Ambulance | 2653 W Oxford Loop Ste 101a, Oxford, MS 38655-2928 | 2016-12-20 |
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| 1386038958 | Medicone Medical Response of Northern Mississippi, Inc | Ambulance | 5226 Hacks Cross Rd, Olive Branch, MS 38654-8158 | 2015-03-23 |
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| 1659653483 | Asap Ems Corporation | Ambulance | 116 Mason St, Laurel, MS 39440-4448 | 2011-09-19 |
| 1295028207 | First Call Ambulance Service, LLC | Ambulance | 240 Stateline Road West, Southaven, MS 38671 | 2011-05-24 |
| 1811208309 | Rural Rapid Response Inc | Ambulance | 165 Walnut St. South, Meadville, MS 39653 | 2010-06-29 |
| 1851555072 | Emmanuel Medical Transports and Services | Ambulance | 1332 Rasco Rd, Suite 344, Southaven, MS 38671 | 2008-07-16 |
| 1386822872 | Yazoo Ambulance Service, Inc. | Ambulance | 780 E Fourteenth St, Yazoo City, MS 39194-2712 | 2008-02-06 |
| Find all providers with the same taxonomy | ||||
| City | BATESVILLE |
| Zip Code | 38606 |
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.