Organization Active NPI

Fayette County

  • Health Maintenance Organization
  • La Grange, TX
National Provider Identifier
1861678880
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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)CodeLicenseStatePrimary
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 Other name

National Provider Directory

National Provider Directory
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.

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

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.

Verify at the official NPI Registry.