Fayette County

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

FAYETTE COUNTY

Doing business as

Fayette County Emergency Medical Services

Practice address

1721 Von Minden Rd
La Grange, TX 78945-2400

Phone

(979) 968-8991

Fax

(979) 968-9488

NPI assigned

Jul 21, 2006

Last updated

Sep 21, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joshua P Vandever

Title

EMS Director

Phone

(979) 968-8991

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• FAYETTE COUNTY EMERGENCY MEDICAL SERVICES Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Fayette County2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Fayette County

  • Health Maintenance Organization
  • La Grange, TX
  • NPI 1861678880
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789948800000",
    "number": "1215958863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 181389",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752188389",
            "telephone_number": "979-968-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 VON MINDEN RD",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789452400",
            "telephone_number": "979-968-8991",
            "fax_number": "979-968-9488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 W Main St",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "TX",
            "postal_code": "789405527",
            "country_code": "US",
            "telephone_number": "979-968-8991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "213 N Market St",
            "address_purpose": "LOCATION",
            "city": "Flatonia",
            "state": "TX",
            "postal_code": "789412683",
            "country_code": "US",
            "telephone_number": "979-968-8991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 E Camp St",
            "address_purpose": "LOCATION",
            "city": "LA Grange",
            "state": "TX",
            "postal_code": "789451702",
            "country_code": "US",
            "telephone_number": "979-968-8991",
            "fax_number": "979-968-9488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 College Street",
            "address_purpose": "LOCATION",
            "city": "Schulenburg",
            "state": "TX",
            "postal_code": "78956",
            "country_code": "US",
            "telephone_number": "979-968-8991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAYETTE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A",
        "authorized_official_last_name": "VANDEVER",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "979-968-8991"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "75001",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590900060",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086425801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF TEXAS",
            "identifier": "503683",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "=========",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAYETTE COUNTY EMERGENCY MEDICAL SERVICES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FAYETTE COUNTY EMERGENCY MEDICAL SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heidi Susanna Ehler, PTA
• Lana Khazma El-Asha, DDS
• Jennifer J Emmel, PA-C
• Laura Eschenburg, L.P.T.
• Fast Track Urgent Care - la Grange (Fast Aid Urgent Care - La Grange)
• Fayette County
• Fayette Medical Supply, Inc.
• Marc A Fitzpatrick, D.C.
• Samantha Fleming
• Angelia Kay Foreman

• Land Ambulance in La Grange, TX
• Providers in La Grange, TX by specialty
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.