Active NPI
Lifeguard Ambulance Service LLC
Doing business as Medflight
- Land Ambulance
- Salisbury, NC
National Provider Identifier
1437770187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- LIFEGUARD AMBULANCE SERVICE LLC
- Doing business as
- Medflight
- Practice address
- 901 W Henderson St
Salisbury, NC 28144-2727 - Phone
- (704) 431-4535
- NPI assigned
- May 5, 2020
- Last updated
- Sep 22, 2022
- Organization subpart
- Yes
- Parent organization
- LIFEGUARD AMBULANCE SERVICE LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eric Thomas
- Title
- SVP of Revenue Management
- Phone
- (833) 703-2294
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | NU | ||
| Land Ambulance | 3416L0300X | NU | Primary |
Addresses
Primary practice location
901 W Henderson St
Salisbury, NC 28144-2727
Mailing address
PO Box 198408
Atlanta, GA 30384-8408
Phone (800) 913-9106
Other names 1
- MEDFLIGHT
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200813002907 | NC | Part B Supplier - Ambulance Service Supplier | 0143453142 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Murphy, NC |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba American Medical Response
- Ambulance
- Murphy, NC
- NPI 1952134082
O20200813002907
National Provider Directory
National Provider Directory- Part of
- Lifeguard Amb SVC LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588636800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663804800000",
"number": "1437770187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 198408",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303848408",
"telephone_number": "800-913-9106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 W HENDERSON ST",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281442727",
"telephone_number": "704-431-4535"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFEGUARD AMBULANCE SERVICE LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LIFEGUARD AMBULANCE SERVICE LLC",
"enumeration_date": "2020-05-05",
"last_updated": "2022-09-22",
"certification_date": "2022-09-22",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "SVP OF REVENUE MANAGEMENT",
"authorized_official_telephone_number": "833-703-2294"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MEDFLIGHT",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Salisbury, NC
- Lexmedical, Inc (Women's Center of Salisbury)
- Liberty Healthcare Group LLC (Liberty Commons NRC of Rowan County)
- Liberty Nursing Services II, LLC (Liberty Nursing Services)
- Paul Michael Lichstein, MSC, MD
- Life Solutions Counseling Services PLLC
- Barbara Liles, RD, LDN
- Brenda M Lingle, OTR/L
- Ian Lins
- Mark David Lins, M.D.
- Aron Lippard
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.