FAYETTE COUNTY (NPI# 1215958863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215958863 |
| Entity Type | Organization |
| Organization Name | FAYETTE COUNTY |
| Other Organization Name | FAYETTE COUNTY EMERGENCY MEDICAL SERVICES |
| Practice Address |
1721 Von Minden Rd La Grange TX 78945-2400 |
| Mailing Address |
Po Box 9150 Paducah KY 42002-9150 |
| Practice Telephone | 9799688991 |
| Practice Fax Number | 9799689488 |
| Mailing Telephone | 2707449600 |
| Mailing Fax Number | 2707448642 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-09-22 |
| Authorized Official Name | JOSHUA P VANDEVER (EMS DIRECTOR) |
| Authorized Official Telephone | 9799688991 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 341600000X | Ambulance | 75001 | TX | Transportation Services |
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 086425801 | 05 | |
| TX | BC/BS OF TEXAS | 503683 | 01 |
| RAILROAD MEDICARE | 590900060 | 01 | |
| TX | TRICARE | ========= | 01 |
| Other Name | Type Code |
|---|---|
| FAYETTE COUNTY EMERGENCY MEDICAL SERVICES | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 750 E Camp St, La Grange, TX 789451702 | 9799688991 | 9799689488 |
| 202 W Main St, Fayetteville, TX 789405527 | 9799688991 | |
| 213 N Market St, Flatonia, TX 789412683 | 9799688991 | |
| 115 College Street, Schulenburg, TX 78956 | 9799688991 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033386271 | Fayette County | Public Health or Welfare | 509 W Edwards St, Vandalia, IL 62471-2707 | 2008-05-15 |
| 1861678880 | Fayette County | Health Maintenance Organization | 151 N Washington St Rm 301, La Grange, TX 78945 | 2008-01-22 |
| 1952507428 | Fayette County | Local Education Agency (LEA) | 103 1st Ave Nw, Fayette, AL 35555-2684 | 2007-06-22 |
| 1477602811 | Fayette County | Preventive Medicine | 317 S Fayette St, Washington Ch, OH 43160-2449 | 2007-01-08 |
| 1174523914 | Fayette County | Hospice Care, Community Based | 416 W Edwards St, Vandalia, IL 62471-2706 | 2005-07-22 |
| 1851556237 | Fayette County | Hospice Care, Community Based | 416 W Edwards St, Vandalia, IL 62471-2706 | 2008-07-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FAYETTE COUNTY ATTORNEY'S OFFICE | 201 E Main St Ste 600, Lexington, KY 40507-2005 |
| System for Award Management (SAM) Entities | FAYETTE COUNTY BEHAVIORAL HEALTH ADMINISTRATION | 215 Jacob Murphy Ln, Uniontown, PA 15401-2777 |
| System for Award Management (SAM) Entities | FAYETTE COUNTY BOARD OF COMMISSIONERS | 140 Stonewall Ave W, Fayetteville, GA 30214-1520 |
| System for Award Management (SAM) Entities | FAYETTE COUNTY BOARD OF EDUCATION | 103 1st Ave Nw Ste 4, Fayette, AL 35555-2684 |
| Indiana Business Entities | FAYETTE COUNTY CANCER SOCIETY, INCORPORATED | C/o Shirley Counceller, 316 Center Dr, Connersville, IN 47331 |
| System for Award Management (SAM) Entities | FAYETTE COUNTY CAREER & TECHNICAL INSTITUTE | 175 Georges-fairchances Rd, Uniontown, PA 15401-6301 |
| Iowa Business Entities | FAYETTE COUNTY CATTLEMEN'S ASSOCIATION | Co Fayette County Extension Office, Box 700, Fayette, IA 52142 |
| Alabama Business Registrations | Fayette County Cattlemen's Association, Inc. | Po Box 465, Fayette, AL 35555 |
| System for Award Management (SAM) Entities | FAYETTE COUNTY COMISSION | 103 1st Avenue Nw Ste 2, Fayette, AL 35555-2641 |
| System for Award Management (SAM) Entities | FAYETTE COUNTY COMMISSION | 100 Court St, Fayetteville, WV 25840 |
| Street Address |
1721 VON MINDEN RD |
| City | LA GRANGE |
| State | TX |
| Zip Code | 78945-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902406739 | Lisa Faye Cummings | Pharmacist | 1915 W. St. Hwy 71 Business, La Grange, TX 78945 | 2020-10-30 |
| 1326515750 | Teresa Kay Carmack | Occupational Therapist | Care Inn of La Grange, 457 N. Main Street, La Grange, TX 78945 | 2018-10-24 |
| 1417496415 | Fresh Smiles Pllc | Dentist | 2001 W. St Hwy 71, Suite 20, La Grange, TX 78945 | 2017-02-23 |
| 1871031443 | Debra Kay Hall | Physical Therapist | 530 W. Lafayette St, Lagrange, TX 78945 | 2017-02-03 |
| 1467840348 | Veronica Olivares-garza | Occupational Therapist | 260 West Live Oak St, La Grange, TX 78945 | 2014-12-31 |
| 1265843874 | Kinuyo Henderson | Family Medicine | 1253 N. Von Minden, La Grange, TX 78945 | 2014-05-16 |
| 1861678880 | Fayette County | Health Maintenance Organization | 151 N Washington St Rm 301, La Grange, TX 78945 | 2008-01-22 |
| 1023215480 | Charlotte Blauert Reilly | Nurse Anesthetist, Certified Registered | 1 St. Marks Place, La Grange, TX 78945 | 2007-06-29 |
| 1770639379 | Sage Professional Consulting Corporation | Psychologist | Two Saint Mark's Pl Ste 147, La Grange, TX 78945 | 2007-01-26 |
| 1457416489 | Timothy Long | Chiropractor | 464 E Guadalupe, La Grange, TX 78945 | 2006-12-27 |
| Find all providers in zip 78945 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083765127 | Oldham County Ambulance Taxing District | Ambulance | 1101 New Moody Ln, La Grange, KY 40031-9124 | 2007-01-16 |
| 1730295353 | Village of Mccook | Ambulance | 5000 Glencoe Ave, La Grange, IL 60525-7801 | 2006-08-23 |
| 1154336865 | Village of La Grange | Ambulance | 300 W Burlington Ave, La Grange, IL 60525-2363 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163499 | Jewel Ambulance Service Inc | Ambulance | 6065 Hillcroft St Ste 327, Houston, TX 77081-1087 | 2020-10-29 |
| 1871190264 | Integrity Alliance Partners LLC | Ambulance | 933 Clubside Dr, Suite A, East Bernard, TX 77435 | 2020-10-08 |
| 1962010850 | Rapid Turtle LLC | Ambulance | 7411 Windsor View Dr, Spring, TX 77379-5373 | 2020-07-17 |
| 1033736962 | Duval County Emergency Service District # 1 | Ambulance | 1106 S Norton Ave, Freer, TX 78357-7835 | 2020-06-26 |
| 1467078816 | American Medical Response of Texas, Inc. | Ambulance | 521 N Sam Houston Ave, Odessa, TX 79761-4432 | 2020-06-22 |
| 1376169870 | Molentium Ems, Inc. | Ambulance | 2024 Naomi St, Houston, TX 77054-3821 | 2020-06-19 |
| 1528682481 | Missouri Health Services | Ambulance | 2440 Texas Pkwy Ste 370b, Missouri City, TX 77489-4000 | 2020-06-05 |
| 1275155699 | 1st Response LLC | Ambulance | 5408 E Loop 250 N Unit B, Midland, TX 79705-9319 | 2020-05-07 |
| 1033754650 | Care Ems Inc | Ambulance | 2440 Texas Pkwy Ste 340e, Missouri City, TX 77489-4073 | 2019-11-07 |
| 1790327765 | Gonzales County Emergency Services District 1 | Ambulance | 305 Qualls Street, Gonzales, TX 78629 | 2019-10-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.