LIFEGUARD AMBULANCE SERVICE LLC (NPI# 1073931515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073931515 |
| Entity Type | Organization |
| Organization Name | LIFEGUARD AMBULANCE SERVICE LLC |
| Practice Address |
115 Walter Davis Dr Ste C Birmingham AL 35209-2847 |
| Mailing Address |
Po Box 277 Birmingham AL 35201-0277 |
| Practice Telephone | 2059331911 |
| Practice Fax Number | 2053802074 |
| Mailing Telephone | 3034951748 |
| Mailing Fax Number | 2053802074 |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2020-03-19 |
| 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 |
115 WALTER DAVIS DR STE C |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35209-2847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437793510 | Marissa M Mcintyre | Registered Nurse | 3401 Independence Drive, Suite 221, Birmingham, AL 35209 | 2019-11-01 |
| 1093284457 | Patriot Healthcare of Alabama, LLC | Family Medicine | 2045 Brookwood Medical Center Drive, Suite 1, Birmingham, AL 35209 | 2018-11-15 |
| 1164902268 | Lucy Johnston | Physician Assistant | 1602 Woodfern Dr, Homewood, AL 35209 | 2018-08-17 |
| 1881184646 | Wade Louis Grady | Specialist/Technologist | 800 Larkshore Drive, Birmingham, AL 35209 | 2018-05-16 |
| 1154823029 | Taylor Payne | Physical Medicine & Rehabilitation | 109 Devon Dr, Birmingham, AL 35209 | 2018-03-06 |
| 1396251542 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 120 Oxmoor Blvd Ste 100, Birmingham, AL 35209 | 2017-12-26 |
| 1376060954 | Hannah Holloway | Specialist/Technologist | 725 Crest Lane, Birmingham, AL 35209 | 2017-08-24 |
| 1558887463 | Paul A Rhodes | Nurse Practitioner | 631 Beacon Center Office Park, Suite 108, Birmingham, AL 35209 | 2017-08-22 |
| 1538542196 | Proteus Molecular and Clinical Lab LLC | Clinical Medical Laboratory | 218 Summit Pkwy, Suite 250, Homewood, AL 35209 | 2015-07-01 |
| 1124407739 | Randall Alban | Nurse Practitioner | 2100 Southbridge Parkway, Suite 650, Birmingham, AL 35209 | 2015-05-28 |
| Find all providers in zip 35209 | ||||
| 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 |
|---|---|---|---|---|
| 1427613801 | Lifeguard Ambulance Service LLC | Ambulance | 950 22nd St N Ste 800, Birmingham, AL 35203-5307 | 2019-05-01 |
| 1689995474 | City of Birmingham Mich Finance Director | Ambulance | 572 S Adams Rd, Birmingham, MI 48009-6755 | 2010-06-16 |
| 1952495574 | City of Vestavia Hills | Ambulance | 513 Montgomery Highway, Birmingham, AL 35216 | 2006-10-03 |
| 1427141126 | City of Mountain Brook | Ambulance | 100 Hoyt Ln, Birmingham, AL 35213-3710 | 2006-10-02 |
| 1447369525 | The Children's Hospital of Alabama | Ambulance | 1512 5th Ave S, Birmingham, AL 35233-1615 | 2006-08-30 |
| 1336256296 | North Shelby County Fire and Emergency Medical District | Ambulance | 4617 Valleydale Rd, Birmingham, AL 35242-4608 | 2006-08-24 |
| 1760432884 | Center Point Fire District | Ambulance | 2229 Center Point Pkwy, Birmingham, AL 35215-4609 | 2006-05-11 |
| 1720052244 | Northstar Ems Inc | Ambulance | 128 W Park Dr, Birmingham, AL 35211-4469 | 2006-02-13 |
| 1265406854 | Northstar Ems, Inc. | Ambulance | 450 10th Ave S Apt A, Birmingham, AL 35205-4524 | 2006-02-13 |
| 1962487355 | City of Birmingham Fire & Rescue Service | Ambulance | 1808 7th Ave N, Birmingham, AL 35203-2201 | 2005-12-08 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35209 |
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.