LIFEGUARD AMBULANCESERVICE OF TEXAS, LLC (NPI# 1013301647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013301647 |
| Entity Type | Organization |
| Organization Name | LIFEGUARD AMBULANCESERVICE OF TEXAS, LLC |
| Practice Address |
1100 E Loop 304 Crockett TX 75835-1810 |
| Mailing Address |
Po Box 745483 Atlanta GA 30374-5483 |
| Practice Telephone | 8663331665 |
| Practice Fax Number | 2053802074 |
| Mailing Telephone | 3034951748 |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2020-04-06 |
| Authorized Official Name | ERIC THOMAS (SVP OF REVENUE MANAGEMENT) |
| Authorized Official Telephone | 8772885340 |
| Is Organization Subpart | Y |
| Parent Organization Name | LIFEGUARD AMBULANCE SERVICE OF TEXAS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 341600000X | Ambulance | Transportation Services | ||
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
| Street Address |
1100 E LOOP 304 |
| City | CROCKETT |
| State | TX |
| Zip Code | 75835-1810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073500799 | East Texas Medical Center Crockett | General Acute Care Hospital | 1100 E Loop 304, Crockett, TX 75835-1810 | 2005-09-29 |
| 1194334532 | Patrick Allen Harvey | Pharmacist | 1100 E Loop 304, Crockett, TX 75835-1810 | 2020-07-30 |
| 1114435260 | Crockett Medical Center, LLC | General Acute Care Hospital | 1100 E Loop 304, Crockett, TX 75835-1810 | 2018-01-10 |
| 1700269941 | Timberlands Healthcare, LLC | Medicare Defined Swing Bed Unit | 1100 E Loop 304, Crockett, TX 75835-1810 | 2015-07-07 |
| 1306223458 | Timberlands Healthcare, LLC | General Acute Care Hospital | 1100 E Loop 304, Crockett, TX 75835-1810 | 2015-04-28 |
| 1588957856 | Walter Cody Cox | Emergency Medicine | 1100 E Loop 304, Crockett, TX 75835-1810 | 2011-05-19 |
| 1083835219 | East Texas Medical Center Crockett | General Acute Care Hospital | 1100 E Loop 304, Crockett, TX 75835-1810 | 2007-05-02 |
| 1326101692 | East Texas Medical Center Crockett | General Acute Care Hospital | 1100 E Loop 304, Crockett, TX 75835-1810 | 2006-12-18 |
| 1831251479 | East Texas Medical Center Crockett | General Acute Care Hospital | 1100 E Loop 304, Crockett, TX 75835-1810 | 2006-12-13 |
| 1912081290 | East Texas Medical Center Crockett | Long Term Care Hospital | 1100 E Loop 304, Crockett, TX 75835-1810 | 2006-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568012862 | Ruby R. Adler | Technician | 2301 N 4th Street, Crockett, TX 75835 | 2019-09-18 |
| 1366712978 | Traditions Hospice of Madisonville, LLC | Hospice Care, Community Based | 600e Loop 304, Crockett, TX 75835 | 2012-01-12 |
| 1538458633 | Northeast Texas Home Health Agency Ltd | Home Health | 2001 E Houston Ave, Crockett, TX 75835 | 2011-03-30 |
| 1508096553 | D&c Medical Associates | Family Medicine | 1100 Loop 3048 East, Suite 200, Crockett, TX 75835 | 2009-07-23 |
| 1356466346 | John Vernon Garner | Dentist | 102 North Grace, Crockett, TX 75835 | 2007-03-20 |
| 1023148467 | Houston County Home Health Care, Inc. | Durable Medical Equipment & Medical Supplies | 1703 E Hwy 21 E, Crockett, TX 75835 | 2007-03-06 |
| 1407944382 | Davy Crockett Drug, Inc. | Pharmacy | 107 S 4th St, Crockett, TX 75835 | 2006-10-10 |
| 1437177052 | John Allan Burnett | Emergency Medicine | 1100 Loop 340 E, Crockett, TX 75835 | 2006-07-18 |
| 1720022593 | Stanley Roger Speegle | Family Medicine | 1100 Loop 304 East, Crockett, TX 75835 | 2006-06-15 |
| 1649219809 | Jeanne M. Hopple | Nurse Practitioner | The Heart Institute of East Texas, Crocket, 951 E. Loop 304, Crockett, TX 75835 | 2006-06-05 |
| Find all providers in zip 75835 | ||||
| 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 |
|---|---|---|---|---|
| 1356320691 | Acute Care Ems, Inc. | Ambulance | 5017 State Highway 7 W, Crockett, TX 75835-7808 | 2006-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163499 | Jewel Ambulance Service Inc | Ambulance | 6065 Hillcroft St Ste 327, Houston, TX 77081-1087 | 2020-10-29 |
| 1871190264 | Integrity Alliance Partners LLC | Ambulance | 933 Clubside Dr, Suite A, East Bernard, TX 77435 | 2020-10-08 |
| 1962010850 | Rapid Turtle LLC | Ambulance | 7411 Windsor View Dr, Spring, TX 77379-5373 | 2020-07-17 |
| 1033736962 | Duval County Emergency Service District # 1 | Ambulance | 1106 S Norton Ave, Freer, TX 78357-7835 | 2020-06-26 |
| 1467078816 | American Medical Response of Texas, Inc. | Ambulance | 521 N Sam Houston Ave, Odessa, TX 79761-4432 | 2020-06-22 |
| 1376169870 | Molentium Ems, Inc. | Ambulance | 2024 Naomi St, Houston, TX 77054-3821 | 2020-06-19 |
| 1528682481 | Missouri Health Services | Ambulance | 2440 Texas Pkwy Ste 370b, Missouri City, TX 77489-4000 | 2020-06-05 |
| 1275155699 | 1st Response LLC | Ambulance | 5408 E Loop 250 N Unit B, Midland, TX 79705-9319 | 2020-05-07 |
| 1033754650 | Care Ems Inc | Ambulance | 2440 Texas Pkwy Ste 340e, Missouri City, TX 77489-4073 | 2019-11-07 |
| 1790327765 | Gonzales County Emergency Services District 1 | Ambulance | 305 Qualls Street, Gonzales, TX 78629 | 2019-10-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LIFEGUARD AMBULANCESERVICE OF TEXAS, 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.