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NPI 1891240859 · live from the CMS NPI Registry

Lifeguard Ambulance Service LLC

Ambulance, Land Transport in Summerdale, AL. National Provider Identifier 1891240859, active.

NPI record

NPI1891240859 Type 2 · organization
StatusActive
Primary specialtyAmbulance, Land Transport 3416L0300X
Practice location106 Highway 59 S, Summerdale, AL 36580
Practice phone417-257-1605
Mailing addressPo Box 198408, Atlanta, GA 30384
EnumeratedAugust 19, 2016
Last updatedSeptember 15, 2025
Authorized officialTimothy Dorn, Chief Administrative Officer
Other namesMedstar

Taxonomies and licenses

TaxonomyCodeLicense
Ambulance341600000X—
Ambulance, Land Transport primary3416L0300X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.