Active NPI
Fayette County
- Health Maintenance Organization
- La Grange, TX
National Provider Identifier
1861678880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- Legal business name
- FAYETTE COUNTY
- Practice address
- 151 N Washington St RM 301
La Grange, TX 78945 - Phone
- (979) 968-6469
- Fax
- (979) 968-8621
- NPI assigned
- Jan 22, 2008
- Last updated
- Jan 22, 2008
- 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
- Mr. Edward F. Janecka
- Title
- County Judge
- Phone
- (979) 968-6469
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | NU | Primary |
Addresses
Primary practice location
151 N Washington St RM 301
La Grange, TX 78945
Mailing address
151 N Washington St RM 301
La Grange, TX 78945-2657
Phone (979) 968-6469
Other names 1
- INDIGENT HEALTH CARE
National Provider Directory
National Provider Directory- Tax ID family
- Fayette County
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Fayette County Emergency Medical Services
- Land Ambulance
- La Grange, TX
- NPI 1215958863
Locations
151 N Washington St
Ste 301
La Grange, TX 78945
Phone (979) 968-6469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200960000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200960000000",
"number": "1861678880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 N WASHINGTON ST RM 301",
"city": "LA GRANGE",
"state": "TX",
"postal_code": "789452657",
"telephone_number": "979-968-6469",
"fax_number": "979-968-8621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 N WASHINGTON ST RM 301",
"city": "LA GRANGE",
"state": "TX",
"postal_code": "78945",
"telephone_number": "979-968-6469",
"fax_number": "979-968-8621"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAYETTE COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-22",
"last_updated": "2008-01-22",
"status": "A",
"authorized_official_last_name": "JANECKA",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "F.",
"authorized_official_title_or_position": "COUNTY JUDGE",
"authorized_official_telephone_number": "979-968-6469",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "INDIGENT HEALTH CARE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in La Grange, TX
- 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 County Emergency Medical Services)
- Fayette Medical Supply, Inc.
- Marc A Fitzpatrick, D.C.
- Samantha Fleming
- Angelia Kay Foreman
- Fresh Smiles PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.