LIFEGUARD INTERNATIONAL NPI 1174541098

NPI Information

NPI: 1174541098
Provider Name: LIFEGUARD INTERNATIONAL
Classification: Ambulance - 3416A0800X
Specialization: Air Transport
Entity Type: Organization
Former Legal Business Name: LIFEGUARD AIR AMBULANCE
Address: 4211 JERRY L MAYGARDEN RD
PENSACOLA, FL
ZIP 32504
Phone: (850) 473-6776

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NPI Details

LIFEGUARD INTERNATIONAL is an air transport ambulance in Pensacola, FL. LIFEGUARD INTERNATIONAL NPI is 1174541098. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Lifeguard Air Ambulance.

The provider's business location address is:

4211 JERRY L MAYGARDEN RD
PENSACOLA, FL
ZIP 32504-029
Phone: (850) 473-6776
Fax: (850) 473-6772

The provider's authorized official is John William Roche .
The authorized official title is President and has the following contact phone number (850) 473-6776.

The enumeration date for this NPI number is 7/18/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416A0800X	Ambulance	Air Transport	2680	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A0586	OTHER	FLORIDA	BLUE CROSS BLUE SHIELD FL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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