Lifeguard Ambulance Service of Illinois Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

LIFEGUARD AMBULANCE SERVICE OF ILLINOIS INC.

Practice address

219 W Jackson St
Macomb, IL 61455-2110

Phone

(309) 575-3911

Fax

(309) 833-2140

NPI assigned

Feb 22, 2018

Organization subpart

Yes

Parent organization

LIFEGUARD AMBULANCE SERVICE OF ILLINOIS INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brian Scott Tierney

Title

Evp, Chief Financial Officer

Phone

(833) 703-2294

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Part of

Lifeguard Amb SVC of Il Inc

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Lifeguard Ambulance Service LLC

  • Land Ambulance
  • Elk City, OK
  • NPI 1477902344

  Member Of

  NPD member

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1255832564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 847199",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752847199",
            "telephone_number": "800-913-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 W JACKSON ST",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614552110",
            "telephone_number": "309-575-3911",
            "fax_number": "309-833-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEGUARD AMBULANCE SERVICE OF ILLINOIS INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFEGUARD AMBULANCE SERVICE OF ILLINOIS INC.",
        "enumeration_date": "2018-02-22",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A",
        "authorized_official_last_name": "TIERNEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "EVP, CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "833-703-2294"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea B. Lawrence, APRN
• Kathy E Lee, MSED, LCPC, CADC,
• Brooke Julianna Levister, PHARM. D.
• Xiaolu (Sherry) Li, M.D.
• Victor Erude Lidaywa, DPT
• Lifetime Dental Care of Illinois, PC
• An-Shih Lin, M.D.
• Ashley Monita Lippens, LCSW
• Jessica Charlotte Litchfield
• Kaitlyn Little

• Land Ambulance in Macomb, IL
• Providers in Macomb, IL by specialty
• Land Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.