Organization · Type 2 NPI

Fayette County

Land Ambulance · La Grange, TX

NPI number 1215958863 Active

Practice location

1721 Von Minden Rd
La Grange, TX 78945-2400

Call (979) 968-8991 Map

Fax (979) 968-9488

Mailing address

PO Box 181389
Dallas, TX 75218-8389

Other practice locations

202 W Main St, Fayetteville, TX 78940-5527 · (979) 968-8991
213 N Market St, Flatonia, TX 78941-2683 · (979) 968-8991
750 E Camp St, La Grange, TX 78945-1702 · (979) 968-8991
115 College Street, Schulenburg, TX 78956 · (979) 968-8991

Specialties and licenses

Taxonomy	Code	License
Ambulance	341600000X	75001 (TX)
Land Ambulance Primary	3416L0300X	None listed

Land Ambulance: Definition to come...

NPI record

NPI: 1215958863
Entity type: Organization (Type 2)
Issued: Jul 21, 2006
Last updated: Sep 21, 2026
Status: Active

Other names

<unavail>
Fayette County Emergency Medical Services · doing business as
Fayette County Emergency Medical Services · doing business as

Authorized official

Joshua P Vandever
Ems Director
(979) 968-8991

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1215958863

Fayette County's National Provider Identifier is 1215958863, issued on Jul 21, 2006. The primary taxonomy on file is Land Ambulance (3416L0300X), and the practice location is in La Grange, TX. The record was last updated on Sep 21, 2026.