Organization
FAYETTE COUNTY
Active
Other names
FAYETTE COUNTY EMERGENCY MEDICAL SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA P VANDEVER (EMS DIRECTOR)
(979) 968-8991
Entity
Organization
Contact information
Practice address
1721 VON MINDEN RD, LA GRANGE, TX 78945-2400
(979) 968-8991
(979) 968-9488
Mailing address
PO BOX 9150, PADUCAH, KY 42002-9150
(270) 744-9600
(270) 744-8642
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
75001
TX
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086425801
—
TX
01
—
503683
BC/BS OF TEXAS
TX
01
—
590900060
RAILROAD MEDICARE
—
01
—
=========
TRICARE
TX
Enumeration date
07/21/2006
Last updated
02/24/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us