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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