Organization Active NPI

Serve Inc

  • Bus
  • Fulton, MO
National Provider Identifier
1669538252
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
BusTaxonomy code 347B00000X
Legal business name
SERVE INC
Practice address
4901 Co Rd 304
Fulton, MO 65251
Phone
(573) 642-6388
Fax
(573) 642-2191
NPI assigned
Dec 28, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mrs. Rita A Fague, CPA
Title
Executive Director
Phone
(573) 642-6388

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X NU
Bus 347B00000X NU Primary

Addresses

Primary practice location

4901 Co Rd 304
Fulton, MO 65251

Mailing address

4901 Co Rd 304
Fulton, MO 65251
Phone (573) 642-6388

Other identifiers 1

IdentifierTypeStateIssuer
5073430MedicaidMO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1669538252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 CO RD 304",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "65251",
            "telephone_number": "573-642-6388",
            "fax_number": "573-642-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 CO RD 304",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "65251",
            "telephone_number": "573-642-6388",
            "fax_number": "573-642-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "FAGUE",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "573-642-6388",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "347B00000X",
            "taxonomy_group": "",
            "desc": "Bus",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5073430",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.