# 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:** 1659753846
- **Legal business name:** LIFEGUARD AMBULANCE SERVICE LLC
- **Authorized official:** TIMOTHY JOSEPH DORN (CHIEF ADMINISTRATIVE OFFICER)
- **Authorized official phone:** (833) 703-2294

## Contact information

- **Practice address:** 610 THOMPSON ST, FLORENCE, AL 35630-3859
- **Practice address phone:** (256) 712-3510
- **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:** 06/24/2015
- **Last updated:** 09/15/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1659753846 | — | AL |
| 05 | — | 307013 | — | AL |