Active NPI
Serve Inc
- Bus
- Fulton, MO
National Provider Identifier
1669538252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Bus
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5073430 | Medicaid | MO |
National Provider Directory
National Provider DirectoryNPI 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.