LIFEGUARD AMBULANCE SERVICE LLC (NPI# 1649820937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649820937 |
| Entity Type | Organization |
| Organization Name | LIFEGUARD AMBULANCE SERVICE LLC |
| Practice Address |
145 Medical Center Dr Gaffney SC 29340-4823 |
| Mailing Address |
Po Box 198408 Atlanta GA 30384-8408 |
| Practice Telephone | 8647206884 |
| Mailing Telephone | 3034951748 |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2020-06-10 |
| Authorized Official Name | ERIC THOMAS (SVP OF REVENUE MANAGEMENT) |
| Authorized Official Telephone | 8772885340 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services | ||
| Y | 341600000X | Ambulance | Transportation Services |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437770187 | Lifeguard Ambulance Service LLC | Ambulance | 121 Forest Service Dr, Bakersville, NC 28705-7047 | 2020-05-05 |
| 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 |
| 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 |
145 MEDICAL CENTER DR |
| City | GAFFNEY |
| State | SC |
| Zip Code | 29340-4823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116943 | Mark Reynolds | Nurse Practitioner | 840 West Floyd Baker Blvd, Gaffney, SC 29340 | 2019-07-24 |
| 1477805448 | Upstate Carolina Ems Inc | Ambulance | 145 Medical Center Dr., Gaffney, SC 29340 | 2012-10-15 |
| 1730439811 | Mickey Dean Bailey | Pharmacist | 229 West Buford Dtreet, Gaffney, SC 29340 | 2012-09-14 |
| 1780959825 | Mqp Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 115 W. Buford St., Gaffney, SC 29340 | 2012-03-21 |
| 1750448858 | Peachtree Centre Cherokee County Long Term Health | Assisted Living Facility | 1434 N. Limestone Street, Gaffney, SC 29340 | 2007-01-02 |
| 1629151550 | Otis Donnell Speight | Emergency Medicine | 510 Thompson Street, Dba Ltc Health Solutions, Gaffney, SC 29340 | 2006-10-23 |
| 1881604965 | Andrew P Harakas Md Pa | Specialist | 1552 N Limestone St, Suite C, Gaffney, SC 29340 | 2006-08-09 |
| 1023026358 | Pamela Turner Boone | Pharmacist | 1530 N. Limestone St, Gaffney, SC 29340 | 2006-08-03 |
| 1831126606 | Bruce Douglas Mikota | Chiropractor | 111 West Rutledge Avenue, Gaffney, SC 29340 | 2006-06-27 |
| 1063469062 | John Colby Stowell | Surgery | 117 E Montgomery St, Gaffney, SC 29340 | 2006-05-27 |
| Find all providers in zip 29340 | ||||
| Taxonomy Code | 341600000X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508800186 | Gaffney Hma LLC | Ambulance | 1530 N Limestone St, Gaffney, SC 29340-4742 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022372 | Palmetto Medical Transportation, LLC | Ambulance | 161 Centre St, Orangeburg, SC 29115-6043 | 2020-10-27 |
| 1336768399 | Merit Transport Inc | Ambulance | 528 Piedmont Ave, Myrtle Beach, SC 29577-6362 | 2020-04-10 |
| 1962067173 | Guardian Medical Transit, LLC | Ambulance | 10838 Kings Rd Ste 25, Myrtle Beach, SC 29572-6070 | 2019-05-02 |
| 1982198289 | Lifeguard Ambulance Service LLC | Ambulance | 3111 Meeting Street Rd Unit A, North Charleston, SC 29405-7980 | 2018-06-20 |
| 1669978474 | Ermobile LLC | Ambulance | 107 David St, Easley, SC 29640-3530 | 2018-04-02 |
| 1871001693 | Med Way Ambulance Service, LLC | Ambulance | 1627 E Palmetto St, Florence, SC 29506 | 2018-01-15 |
| 1407361512 | Lifeguard Ambulance Service LLC | Ambulance | 3908 Highway 9, Cheraw, SC 29520-6681 | 2017-12-12 |
| 1669987087 | Crystal River Medical Transportation LLC | Ambulance | 104 Dean Ct, Lexington, SC 29073-2907 | 2017-12-07 |
| 1578076022 | Demario Sawyer Sr | Ambulance | 107 N Royal Tower Dr Ste C, Irmo, SC 29063 | 2017-11-07 |
| 1457887747 | Chesterfield County Rescue Squad Inc. Unit 2 | Ambulance | 103 Cotton St, Chesterfield, SC 29709-1526 | 2017-05-04 |
| 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.