Lifeguard Ambulance Service LLC
NPI #1760831630 in Purvis, Mississippi
Provider Information
- NPI Number
- 1760831630
- Entity Type
- Organization
- Organization Name
- Lifeguard Ambulance Service LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- LIFEGUARD AMBULANCE SERVICE LLC
- Primary Specialty
- Ambulance - Land Transport
- Enumeration Date
- Jun 10, 2016
- Last Updated
- Sep 15, 2025
Practice Location
- Address
- 630 PURVIS OLOH RD
- City
- Purvis
- State
- Mississippi
- ZIP Code
- 39475-4284
- Phone
- (601) 794-8417
Authorized Official
- Name
- TIMOTHY JOSEPH DORN
- Title
- CHIEF ADMINISTRATIVE OFFICER
- Phone
- (833) 703-2294
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ambulance |
| Ambulance - Land Transport — Land Transport |
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