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LIFE GUARD INC NPI 1518027150


NPI Information

NPI: 1518027150
Provider Name: LIFE GUARD INC

Doing Business As: LIFE GUARD MEDICAL SUPPLY

Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

Address:
71 E MAIN ST
MC CONNELSVILLE, OH
ZIP 43756
Phone: (740) 962-5223
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LIFE GUARD INC is an oxygen equipment and supplies durable medical equipment medical supplies in Mc Connelsville, OH. LIFE GUARD INC NPI is 1518027150. The provider is registered as an organization entity type.
The provider Is Doing Business As Life Guard Medical Supply.

The provider's business location address is:

71 E MAIN ST
MC CONNELSVILLE, OH
ZIP 43756-180
Phone: (740) 962-5223
Fax: (740) 962-5223

The provider's authorized official is Matt Shively .
The authorized official title is V.p. and has the following contact phone number (304) 665-2346.

The enumeration date for this NPI number is 12/12/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesHMEL 11133OHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12412268MEDICAIDOHIO

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: 4/28/2024

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