# LIFEGUARD AMBULANCE SERVICE LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LIFEGUARD AMBULANCE SERVICE LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1528596814
- **Legal business name:** LIFEGUARD AMBULANCE SERVICE LLC
- **Authorized official:** BRIAN SCOTT TIERNEY (EVP, CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (833) 703-2294

## Contact information

- **Practice address:** 405 HIGHWAY 51 S, BATESVILLE, MS 38606-2549
- **Practice address phone:** (662) 609-0017
- **Mailing address:** PO BOX 198408, ATLANTA, GA 30384-8408
- **Mailing address phone:** (800) 913-9106

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | — | NULL | — |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 05/31/2017
- **Last updated:** 03/16/2026