Active NPI
Lifeguard Ambulance Service of Texas LLC
- Land Ambulance
- Addison, TX
National Provider Identifier
1720376429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- LIFEGUARD AMBULANCE SERVICE OF TEXAS LLC
- Practice address
- 4951 Airport Pkwy Ste 710
Addison, TX 75001-6616 - Phone
- (214) 254-4089
- Fax
- (205) 380-2074
- NPI assigned
- Jul 14, 2011
- Organization subpart
- Yes
- Parent organization
- LIFEGUARD AMBULANCE SERVICE OF TEXAS LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Eric Thomas
- Title
- SVP of Revenue Management
- Phone
- (877) 288-5340
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
4951 Airport Pkwy Ste 710
Addison, TX 75001-6616
Mailing address
PO Box 277
Birmingham, AL 35201-0277
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111020000751 | TX | Part B Supplier - Ambulance Service Supplier | 9739351503 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Brownwood, TX; Crockett, TX; Early, TX |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- Lifeguard Ambulance Service
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1537920000000",
"number": "1720376429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 277",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352010277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4951 AIRPORT PKWY STE 710",
"city": "ADDISON",
"state": "TX",
"postal_code": "750016616",
"telephone_number": "214-254-4089",
"fax_number": "205-380-2074"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFEGUARD AMBULANCE SERVICE OF TEXAS LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LIFEGUARD AMBULANCE SERVICE OF TEXAS LLC",
"enumeration_date": "2011-07-14",
"last_updated": "2018-09-26",
"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": "877-288-5340",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Addison, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; 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.