# 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:** 1568826584
- **Legal business name:** LIFEGUARD AMBULANCE SERVICE LLC
- **Authorized official:** ERIC THOMAS (SVP OF REVENUE MANAGEMENT)
- **Authorized official phone:** (877) 288-5340

## Contact information

- **Practice address:** 10 JOHN DAVENPORT DR NW, ROME, GA 30165-2536
- **Practice address phone:** (866) 333-1665
- **Practice address fax:** (205) 380-2074
- **Mailing address:** PO BOX 277, BIRMINGHAM, AL 35201-0277
- **Mailing address phone:** (866) 333-1665
- **Mailing address fax:** (205) 380-2074

## Taxonomy

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

## Other

- **Enumeration date:** 04/06/2016
- **Last updated:** 09/26/2018