OrganizationActive
Lifeguard Ambulance Service LLC
NPI 1760831630 · Land Ambulance · Purvis, MS
Provider details
- NPI number
- 1760831630
- Entity type
- Organization
- Primary specialty
- Land AmbulanceTransportation Services
- Parent organization
- Lifeguard Ambulance Service LLC
- Organization subpart
- Yes
- Authorized official
- Brian Tierney, Evp, Chief Financial Officer(833) 703-2294
Specialties & taxonomies
Transportation Services
- Ambulance341600000X
Transportation Services
Practice location
630 Purvis Oloh Rd
Purvis, MS 39475-4284
Phone: (601) 794-8417
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 198408
Atlanta, GA 30384-8408
Registry dates
- Enumerated
- 2016-06-10
- Last updated
- 2026-03-16
- Certified
- 2026-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.