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Organization

LIFEGUARD TRANSPORTATION SERVICE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN ROCHE (CEO PRESIDENT)
(205) 380-2065
Entity
Organization

Contact information

Practice address
115 C WALTER DAVIS DR, BIRMINGHAM, AL 35209-2847
(205) 380-0100
(205) 324-9915
Mailing address
P.O. BOX 11361, BIRMINGHAM, AL 35202-1361
(205) 380-2065
(205) 380-2074

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
5549
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
051550455
AL
Enumeration date
07/19/2005
Last updated
09/15/2011
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