Active NPI
La Vernia Volunteer Ambulance Service
- Ambulance
- La Vernia, TX
National Provider Identifier
1902951007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 247005
- Legal business name
- LA VERNIA VOLUNTEER AMBULANCE SERVICE
- Practice address
- 12033 Hwy 87 West
La Vernia, TX 78121 - Phone
- (830) 779-1709
- Fax
- (830) 779-5049
- NPI assigned
- Jan 25, 2007
- 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
- Marian Rye
- Title
- President, la Vernia Volunteer Ambu
- Phone
- (830) 779-1709
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 247005 | TX | Primary |
| Land Ambulance | 3416L0300X | 247005 | TX |
Addresses
Primary practice location
12033 Hwy 87 West
La Vernia, TX 78121
Mailing address
PO Box 308
La Vernia, TX 78121-0308
Phone (830) 779-1709
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0865925-01 | Medicaid | TX | |
| 700722 | Other | TX | UNITED HEALTHCARE |
| 0000504860 | Other | TX | BLUE CROSS BLUE SHIELD TX |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323993600000",
"number": "1902951007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 308",
"city": "LA VERNIA",
"state": "TX",
"postal_code": "781210308",
"telephone_number": "830-779-1709",
"fax_number": "830-779-5049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12033 HWY 87 WEST",
"city": "LA VERNIA",
"state": "TX",
"postal_code": "78121",
"telephone_number": "830-779-1709",
"fax_number": "830-779-5049"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LA VERNIA VOLUNTEER AMBULANCE SERVICE",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-25",
"last_updated": "2011-12-16",
"status": "A",
"authorized_official_last_name": "RYE",
"authorized_official_first_name": "MARIAN",
"authorized_official_title_or_position": "PRESIDENT, LA VERNIA VOLUNTEER AMBU",
"authorized_official_telephone_number": "830-779-1709"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "TX",
"license": "247005",
"primary": true
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "TX",
"license": "247005",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0865925-01",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "700722",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD TX",
"identifier": "0000504860",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Vernia, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.