LIFEGUARD AMBULANCE SERVICE OF TEXAS, LLC (NPI# 1457716037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457716037 |
| Entity Type | Organization |
| Organization Name | LIFEGUARD AMBULANCE SERVICE OF TEXAS, LLC |
| Practice Address |
1611 Coggin Ave Brownwood TX 76801-4403 |
| Mailing Address |
Po Box 745483 Atlanta GA 30374-5483 |
| Practice Telephone | 8663331665 |
| Practice Fax Number | 2053802074 |
| Mailing Telephone | 3034951748 |
| Enumeration Date | 2015-12-23 |
| 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 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 |
1611 COGGIN AVE |
| City | BROWNWOOD |
| State | TX |
| Zip Code | 76801-4403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902388374 | Jessica Moreno | Licensed Vocational Nurse | 1401 Indian Creek Dr, Brownwood, TX 76801 | 2018-09-03 |
| 1801314232 | Patrick M. Padgett | Hearing Instrument Specialist | 2510 Crockett Dr. Ste. A, Brownwood, TX 76801 | 2017-09-06 |
| 1376061911 | Alisandra Margaret Dirickson | Physician Assistant | 101 A South Park Drive, Brownwood, TX 76801 | 2017-09-05 |
| 1629441654 | Hennepin Dialysis LLC | Clinic/Center | 2511 Crockett Dr, Brownwood, TX 76801 | 2015-11-13 |
| 1164893889 | Shannon Lynn Young Delacruz | Nurse Practitioner | 302 E Commerce, Brownwood, TX 76801 | 2015-10-08 |
| 1295125821 | David George Curtis | General Practice | 611 Fm 3254, Brownwood, TX 76801 | 2015-02-04 |
| 1619371374 | Sanketkumar Parikh | Pharmacist | 200 West Commerce Street, 377 Villas, Brownwood, TX 76801 | 2014-10-09 |
| 1144621384 | Timothy Leon Taylor | Counselor | 408 Mulberry St., Brownwood, TX 76801 | 2014-09-08 |
| 1851667521 | Lee Healthcare Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 118 B Southpark Dr., Brownwood, TX 76801 | 2012-03-28 |
| 1619261302 | Ginger Rebecca Smith | Counselor | 408 Mulberry, Brownwood, TX 76801 | 2011-05-31 |
| Find all providers in zip 76801 | ||||
| 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 |
|---|---|---|---|---|
| 1104137322 | Powell Professional of West Texas, LLC | Ambulance | 1501 4th St, Brownwood, TX 76801-4430 | 2010-06-23 |
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| 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 | ||||
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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.