Organization Active NPI

La Vernia Volunteer Ambulance Service

  • Ambulance
  • La Vernia, TX
National Provider Identifier
1902951007
Registry record updated Dec 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
247005 Issued in TX
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

Updated by the provider on Dec 16, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0865925-01MedicaidTX
700722OtherTXUNITED HEALTHCARE
0000504860OtherTXBLUE CROSS BLUE SHIELD TX

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.