Organization
LIFEGUARD AMBULANCE SERVICE LLC
Active
Parent organization
LIFEGUARD AMBULANCE SERVICE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFEGUARD AMBULANCE SERVICE LLC
Authorized official
ERIC THOMAS (SVP OF REVENUE MANAGEMENT)
(877) 288-5340
Entity
Organization
Contact information
Practice address
10 JOHN DAVENPORT DR NW, ROME, GA 30165-2536
(866) 333-1665
(205) 380-2074
Mailing address
PO BOX 277, BIRMINGHAM, AL 35201-0277
(866) 333-1665
(205) 380-2074
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
04/06/2016
Last updated
09/26/2018
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