Organization Active NPI

Lifeguard Ambulance Service LLC

Doing business as Medflight

  • Land Ambulance
  • Salisbury, NC
National Provider Identifier
1437770187
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
LIFEGUARD AMBULANCE SERVICE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

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

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.

Verify at the official NPI Registry.