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Contact Information

LIFE GUARD INC
CORNER OF BANK & MAIN ST.
PINEVILLE, WV24874
 Phone: 304-732-9270
 Fax: 304-732-9270
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for LIFE GUARD INC

NPI # 1720140239
LBN Legal business name LIFE GUARD INC
Authorized official MATT SHIVELY - (V.P.)
Entity Organization
Organization subpart 1 No
Enumeration date 12/14/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers
License # NONE REQUIRED
WV Medicaid 6204088000
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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