Sacred Heart EMS, Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

1000203 Issued in TX

Legal business name

SACRED HEART EMS, INC

Doing business as

Sacred Heart Medical Service

Practice address

2901 N Cameron St
Victoria, TX 77901-3931

Phone

(361) 649-0814

NPI assigned

Jan 15, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bo Reger

Title

Administrator

Phone

(361) 579-9727

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Sacred Heart Medical Service Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1023255874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3847",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779033847",
            "telephone_number": "361-649-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 N CAMERON ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779013931",
            "telephone_number": "361-649-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED HEART EMS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "REGER",
        "authorized_official_first_name": "BO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "361-579-9727"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "1000203",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201481301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sacred Heart Medical Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Manuel Ruiz Jr., MD
• Yvonne M Ruiz, FNP-C
• Virginia Ruschhaupt, LPC
• Bruce A Ryan, PHYSICAL THERAPIST
• S&C Senior Care LLC
• Elma Saenz, LCSW, LCDC
• William Patrick Sage, M.D.
• Olivia Lea Sager, MSN, RN, CPNP
• Shabbir I Saiyed, M.D.
• Nafeesa Salam, MD

• Ambulance in Victoria, TX
• Providers in Victoria, TX by specialty
• Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.