MEDICARE: COUNTY OF LAVACA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	143001	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	590013483	OTHER		RAILROADMEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013919265
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNTY OF LAVACA

Provider Business Mailing Address
First Line	:	906 N TEXANA ST
Second Line	:
City	:	HALLETTSVILLE
State	:	TX
Zip	:	77964-2339
Country	:	US
Telephone Number	:	361-798-4533
Fax Number	:	361-798-4763

Provider Business Practice Location Address
First Line	:	906 N TEXANA ST
Second Line	:
City	:	HALLETTSVILLE
State	:	TX
Zip	:	77964-2339
Country	:	US
Telephone Number	:	361-798-4533
Fax Number	:	361-798-4763

Authorized Official
Title or Position	:	CHIEF
Name	:	MR. MICHAEL FURRH
Credential	:
Telephone Number	:	979-253-8944

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	02/17/2026

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Directions to “COUNTY OF LAVACA ” Practice Location

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