Contract Details
Lifeguard Air Ambulance, Inc.
Facility name
Lifeguard Ambulance Service
Provider ID
P000002235
NPI
1962582569
Tax ID
592994661
Effective Date
10/1/2011
Last Updated
5/21/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
D
Billed Charges Multiplier
80.00
Location Details
Address
4211 Jerry L. Maygarden Road
Pensacola, FL 32504
United States
County
Escambia
Phone
8504736776 (Phone)
Billing Details
Address
Specialty Type
Ambulance, Air
Map
Address