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Organization
LA VERNIA VOLUNTEER AMBULANCE SERVICE
Active
Organization
LA VERNIA VOLUNTEER AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAN RYE (PRESIDENT, LA VERNIA VOLUNTEER AMBU)
(830) 779-1709
Entity
Organization
Contact information
Practice address
12033 HWY 87 WEST, LA VERNIA, TX 78121
(830) 779-1709
(830) 779-5049
Mailing address
PO BOX 308, LA VERNIA, TX 78121-0308
(830) 779-1709
(830) 779-5049
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
247005
TX
3416L0300X
Land Ambulance
247005
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000504860
BLUE CROSS BLUE SHIELD TX
TX
05
—
0865925-01
—
TX
01
—
700722
UNITED HEALTHCARE
TX
Enumeration date
01/25/2007
Last updated
12/16/2011
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