LIFEGUARD AMBULANCE SERVICE LLC (NPI# 1386188829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386188829 |
| Entity Type | Organization |
| Organization Name | LIFEGUARD AMBULANCE SERVICE LLC |
| Practice Address |
118 N Kansas St Weatherford OK 73096-5442 |
| Mailing Address |
Po Box 745483 Atlanta GA 30374-5483 |
| Practice Telephone | 8663331665 |
| Practice Fax Number | 2053802074 |
| Mailing Telephone | 3034951748 |
| Mailing Fax Number | 8664573252 |
| Enumeration Date | 2016-12-16 |
| Last Update Date | 2020-04-02 |
| 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 |
| 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 |
118 N KANSAS ST |
| City | WEATHERFORD |
| State | OK |
| Zip Code | 73096-5442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316433170 | Weatherford Hospital Authority | Clinic/Center | 1315 N Washington, Weatherford, OK 73096 | 2018-07-05 |
| 1174030530 | Lacey Bailey | Case Manager/Care Coordinator | 101 E University Dr Apt B2, Weatherford, OK 73096 | 2018-01-08 |
| 1972962066 | Shayli Hill | Physical Therapist | 3730 Legacy Dr, Weatherford, OK 73096 | 2016-02-17 |
| 1396144622 | Xpress Wellness LLC | Family Medicine | 1303 N Washington, Weatherford, OK 73096 | 2014-08-22 |
| 1881942654 | Weatherford Dental Care Pllc | Dentist | 1325 N. Washington Street, Weatherford, OK 73096 | 2012-08-27 |
| 1326352204 | Weatherford Hospital Authority | General Acute Care Hospital | 3727 Legacy, Weatherford, OK 73096 | 2010-08-03 |
| 1316148505 | Janet Vega | Case Manager/Care Coordinator | 1413 Kase St Apt. 1, Weatherford, OK 73096 | 2007-05-29 |
| 1326259797 | Amy Michelle Estes IIi | Case Manager/Care Coordinator | 90 North 31st., Clinton, OK 73096 | 2007-05-25 |
| 1427260256 | Paul C. Tisdal, O.d., P.C. | Optometrist | 1545 N. Washington Ave, Weatherford, OK 73096 | 2007-05-04 |
| 1386786663 | William W Uraneck | Dentist | 617 E Tom Stafford, Weatherford, OK 73096 | 2007-02-13 |
| Find all providers in zip 73096 | ||||
| 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 |
|---|---|---|---|---|
| 1538179288 | Parker County Hospital District | Ambulance | 1115 Pecan Dr, Weatherford, TX 76086-5775 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285181610 | Comanche County Hospital Authority | Ambulance | 129 E Colorado St, Walters, OK 73572-1461 | 2016-09-01 |
| 1891241642 | United Emergency Medical Service LLC | Ambulance | 57811 Moccasin Trail Rd, Prague, OK 74864-1136 | 2016-08-31 |
| 1477902344 | Lifeguard Ambulance Service LLC | Ambulance | 1031 W 5th St, Elk City, OK 73644-5613 | 2016-06-10 |
| 1366829848 | City of New Cordell | Ambulance | 203 E Clay St, Cordell, OK 73632-5405 | 2015-05-04 |
| 1578802799 | Town of Carnegie | Ambulance | 6 W Ash St, Carnegie, OK 73015-1075 | 2013-02-07 |
| 1639421340 | Victory Ems, Inc | Ambulance | 1275 N Air Depot Blvd, Midwest City, OK 73110-3333 | 2012-10-04 |
| 1063773844 | Clv Enterprises, Inc. | Ambulance | 3108 Epperly Dr, Del City, OK 73115-3414 | 2012-06-07 |
| 1346512399 | Country Corner Fire District Inc | Ambulance | 6983 W 113th St N, Sperry, OK 74073-4008 | 2012-02-07 |
| 1013294982 | Aero Med, LLC | Ambulance | 7601 E Apache St Hngr 22, Tulsa, OK 74115-3721 | 2011-11-07 |
| 1740584184 | Comanche County Hospital Authority | Ambulance | 7892 Highway 277, Elgin, OK 73538-0000 | 2010-12-28 |
| Find all providers with the same taxonomy | ||||
| City | WEATHERFORD |
| Zip Code | 73096 |
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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.