Lifeguard Ambulance Service LLC
Ambulance, Land Transport in Waverly, TN. Organization (NPI-2).
NPI number1043746902
StatusActive
Last updated in NPPESFeb 10, 2022
Details
- NPI
- 1043746902
- Entity type
- Organization (NPI-2)
- Legal business name
- Lifeguard Ambulance Service LLC
- Organization subpart
- Yes
- Enumeration date
- May 11, 2017
- Certification date
- Feb 10, 2022
- Last updated
- Feb 10, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3416L0300X | Ambulance, Land Transport | – | – | Yes |
| 341600000X | Ambulance | – | – |
Practice location
411 W Main StWaverly, TN 37185-1107
Phone 931-296-2355
Mailing address
Po Box 198408Atlanta, GA 30384-8408
Phone 800-913-9106
Authorized official
Eric Thomas
Svp Of Revenue Management
8337032294
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