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Organization

LIFEGUARD AMBULANCE SERVICE LLC

Active
Parent organization
LIFEGUARD AMBULANCE SERVICE LLC
Other names
American Medical Response
Organization subpart
Yes

Provider details

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

Contact information

Practice address
3988 E US 64 ALT, MURPHY, NC 28906-6843
(800) 297-1070
Mailing address
PO BOX 198408, ATLANTA, GA 30384-8408
(800) 913-9106

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
3416L0300X
Land Ambulance

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1952134082
NC
05
PENDING
NC
Enumeration date
08/23/2024
Last updated
03/16/2026
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