Organization Active NPI

Republic EMS LTD

  • Ambulance
  • Magnolia, TX
National Provider Identifier
1376644609
Registry record updated Sep 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
800187 Issued in TX
Legal business name
REPUBLIC EMS LTD
Practice address
33300 Egypt LN Ste D300
Magnolia, TX 77354
Phone
(281) 996-9700
Fax
(888) 515-9270
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2018

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

Authorized official

Name
Daniel Ryan Osborne
Title
President/Ceo
Phone
(832) 452-1261

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 800187 TX Primary

Addresses

Primary practice location

33300 Egypt LN Ste D300
Magnolia, TX 77354

Mailing address

33300 Egypt LN Ste D300
Magnolia, TX 77354-2742
Phone (281) 996-9700

Other identifiers 2

IdentifierTypeStateIssuer
AMB839OtherTXBCBS
183889801MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070228000693 TX Part B Supplier - Ambulance Service Supplier 0244332856 Practice locations: Magnolia, TX

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2155803Republic EMS, LTD33300 Egypt Lane Suite D300, Magnolia, TX 77354Certificate of waiverOct 3, 2026

National Provider Directory

National Provider Directory

Locations

1001 W H St
Ste 7
La Porte, TX 77571
Phone (281) 394-1212

33300 Egypt Ln
Ste D300
Magnolia, TX 77354
Phone (281) 886-7707

33300 Egypt Ln
Ste G100
Magnolia, TX 77354
Phone (409) 766-0084

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536105600000",
    "number": "1376644609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33300 EGYPT LN STE D300",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773542742",
            "telephone_number": "281-996-9700",
            "fax_number": "888-515-9270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33300 EGYPT LN STE D300",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "77354",
            "telephone_number": "281-996-9700",
            "fax_number": "888-515-9270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REPUBLIC EMS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2018-09-05",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "832-452-1261"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "800187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AMB839",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183889801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Magnolia, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; 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.