OrganizationActive
Lifeguard Ambulance Service LLC
NPI 1043746902 · Land Ambulance · Waverly, TN
Provider details
- NPI number
- 1043746902
- Entity type
- Organization
- Primary specialty
- Land AmbulanceTransportation Services
- Parent organization
- Lifeguard Ambulance Service LLC
- Organization subpart
- Yes
- Authorized official
- Eric Thomas, Svp of Revenue Management(833) 703-2294
Specialties & taxonomies
Transportation Services
- Ambulance341600000X
Transportation Services
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
411 W Main St
Waverly, TN 37185-1107
Phone: (931) 296-2355
Street-level locationGet directions
Mailing address
Po Box 198408
Atlanta, GA 30384-8408
Registry dates
- Enumerated
- 2017-05-11
- Last updated
- 2022-02-10
- Certified
- 2022-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.