# LA VERNIA VOLUNTEER AMBULANCE SERVICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902951007
- **Authorized official:** MARIAN RYE (PRESIDENT, LA VERNIA VOLUNTEER AMBU)
- **Authorized official phone:** (830) 779-1709

## Contact information

- **Practice address:** 12033 HWY 87 WEST, LA VERNIA, TX 78121
- **Practice address phone:** (830) 779-1709
- **Practice address fax:** (830) 779-5049
- **Mailing address:** PO BOX 308, LA VERNIA, TX 78121-0308
- **Mailing address phone:** (830) 779-1709
- **Mailing address fax:** (830) 779-5049

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 247005 | TX | Yes |
| 3416L0300X | Land Ambulance | 247005 | TX | — |

## Other

- **Enumeration date:** 01/25/2007
- **Last updated:** 12/16/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0000504860 | BLUE CROSS BLUE SHIELD TX | TX |
| 05 | — | 0865925-01 | — | TX |
| 01 | — | 700722 | UNITED HEALTHCARE | TX |