Active NPI
Republic EMS LTD
- Ambulance
- Magnolia, TX
National Provider Identifier
1376644609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 800187
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AMB839 | Other | TX | BCBS |
| 183889801 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070228000693 | TX | Part B Supplier - Ambulance Service Supplier | 0244332856 | Practice locations: Magnolia, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2155803 | Republic EMS, LTD | Certificate of waiver | Oct 3, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.