Provider Demographics
NPI:1609084557
Name:LIFEGUARD AEROMED INC.
Entity Type:Organization
Organization Name:LIFEGUARD AEROMED INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:BRIGGS
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-626-8609
Mailing Address - Street 1:151 COMMANDER RD
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76106-2778
Mailing Address - Country:US
Mailing Address - Phone:817-626-8609
Mailing Address - Fax:817-624-4466
Practice Address - Street 1:151 COMMANDER RD
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76106-2778
Practice Address - Country:US
Practice Address - Phone:817-626-8609
Practice Address - Fax:817-624-4466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2009-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2200683416A0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport