Labelle Fannett Volunteer Fire

Primary specialty

AmbulanceTaxonomy code 341600000X

License

123012 Issued in TX

Legal business name

LABELLE FANNETT VOLUNTEER FIRE

Practice address

18769 FM 365 Rd
Beaumont, TX 77705-8761

Phone

(409) 794-1441

NPI assigned

Apr 20, 2007

Last updated

Apr 10, 2012By 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

Scott Wade

Title

EMS Coordinator

Phone

(409) 794-1441

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1568689461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 BEAUMONT AVE",
            "city": "LIBERTY",
            "state": "TX",
            "postal_code": "775755137",
            "telephone_number": "888-483-9893",
            "fax_number": "936-334-9861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18769 FM 365 RD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777058761",
            "telephone_number": "409-794-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABELLE FANNETT VOLUNTEER FIRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "EMS COORDINATOR",
        "authorized_official_telephone_number": "409-794-1441"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "123012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "515710",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000471501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• L&L Transport
• La Costa of Beaumont PA
• Stephen L La Mendola, MD
• Vicki La, PHARMD
• Lana Renea Labeaux
• Labmd, LTD.
• Jennifer Laborde, MSN APRN FNP-C
• Alexis May Laceras
• Krystal Michelle Laday, LPC
• Takesha Laday

• Ambulance in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.