OrganizationActive
Life Shield Ems
NPI 1063715738 · Ambulance · Lake City, GA
Provider details
- NPI number
- 1063715738
- Entity type
- Organization
- Primary specialty
- AmbulanceTransportation Services
- Organization subpart
- No
- Authorized official
- Steve Thach, Ceo(678) 814-4550
- License
- 031-26 (GA)
Specialties & taxonomies
Transportation Services
Transportation Services
Practice location
1158 Forest Pkwy
Suite a
Lake City, GA 30260-3464
Phone: (678) 814-4550
Fax: (770) 783-6622
Approximate (ZIP-level) locationGet directions
Mailing address
1158 Forest Pkwy
Lake City, GA 30260-3464
Registry dates
- Enumerated
- 2010-12-17
- Last updated
- 2014-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.