LIFEGUARD AMBULANCE SERVICE LLC (NPI# 1760831630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760831630 |
| Entity Type | Organization |
| Organization Name | LIFEGUARD AMBULANCE SERVICE LLC |
| Practice Address |
630 Purvis Oloh Rd Purvis MS 39475-4284 |
| Mailing Address |
Po Box 198408 Atlanta GA 30384-8408 |
| Practice Telephone | 6017948417 |
| Mailing Telephone | 3034951748 |
| Enumeration Date | 2016-06-10 |
| 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 |
630 PURVIS OLOH RD |
| City | PURVIS |
| State | MS |
| Zip Code | 39475-4284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366986556 | Terrace Hill Dental Center Pllc | Dentist | 271 Hwy 589, Purvis, MS 39475 | 2016-12-07 |
| 1831469683 | Freds Stores of Tennessee Inc | Pharmacy | 509 Hwy 589, Purvis, MS 39475 | 2012-01-11 |
| 1154600120 | Shannon Love | Counselor | 89 Brewer Rd, Purvis, MS 39475 | 2011-08-09 |
| 1881992055 | Pearl River County Hospital | Family Medicine | 104 Highway 589, Purvis, MS 39475 | 2011-03-11 |
| 1740512102 | Burge Managment & Marketing, LLC | Durable Medical Equipment & Medical Supplies | 177 Shelby Speights, Suite C, Purvis, MS 39475 | 2010-02-09 |
| 1104151265 | Humphreys Dental, LLC | Dentist | 444 Shelby Speights Drive, Purvis, MS 39475 | 2009-10-07 |
| 1013149384 | Michelle E Howard | Marriage & Family Therapist | 143 N Windridge Lane #b, Purvis, MS 39475 | 2009-08-19 |
| 1811162324 | Lamar County School District | Registered Nurse | 213 School Street, Purvis, MS 39475 | 2008-04-25 |
| 1023283645 | Lamar County School District | Registered Nurse | 5402 U S Highway 11, Purvis, MS 39475 | 2008-04-24 |
| 1457568503 | Richard D. Vincent | Dentist | 444 Shelby Speights Dr., Purvis, MS 39475 | 2007-05-17 |
| Find all providers in zip 39475 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| 1538604970 | Priority Medical Transportation, Inc. | Ambulance | 2653 W Oxford Loop Ste 101a, Oxford, MS 38655-2928 | 2016-12-20 |
| 1760832638 | North Mississippi Ground Ambulance, LLC | Ambulance | 1361 S Green St, Tupelo, MS 38804-6304 | 2016-06-21 |
| 1386038958 | Medicone Medical Response of Northern Mississippi, Inc | Ambulance | 5226 Hacks Cross Rd, Olive Branch, MS 38654-8158 | 2015-03-23 |
| 1972995637 | Fleetwood Transport Services LLC | Ambulance | 1146 Crockett Loop S, Hernando, MS 38632-8369 | 2015-03-04 |
| 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 | ||||
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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.