Contract Details
Lifeguard Transportation Service, Inc.
Facility name
Lifeguard Ambulance Service
Provider ID
P000002236
NPI
1528067881
Tax ID
593523521
Effective Date
8/24/2011
Last Updated
9/22/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
115 Walter Davis Drive Suite C
Birmingham, AL 35209
United States
County
Jefferson
Phone
2059331911 (Phone)
Billing Details
Address
P.O. Box 11361
Birmingham, AL 35202
Billing Phone
2053802065
Specialty Type
Ambulance, Land
Map
Address