Organization · Type 2 NPI

Lifeguard Ambulance Service LLC

Land Ambulance · Summerdale, AL

NPI number 1891240859 Active

Practice location

106 Highway 59 S
Summerdale, AL 36580-3690

Call (417) 257-1605 Map

Fax (205) 380-2074

Mailing address

PO Box 198408
Atlanta, GA 30384-8408

Specialties and licenses

Taxonomy	Code	License
Ambulance	341600000X	None listed
Land Ambulance Primary	3416L0300X	None listed

Land Ambulance: Definition to come...

NPI record

NPI: 1891240859
Entity type: Organization (Type 2)
Issued: Aug 19, 2016
Last updated: Sep 15, 2025
Status: Active
Subpart: Yes of Lifeguard Ambulance Service LLC

Other names

<unavail>
Medstar · doing business as
Medstar · doing business as

Authorized official

Timothy Joseph Dorn
Chief Administrative Officer
(833) 703-2294

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1891240859

Lifeguard Ambulance Service LLC's National Provider Identifier is 1891240859, issued on Aug 19, 2016. The primary taxonomy on file is Land Ambulance (3416L0300X), and the practice location is in Summerdale, AL. The record was last updated on Sep 15, 2025.