Organization Active NPI

Sacred Cross EMS

  • Ambulance
  • Denton, TX
National Provider Identifier
1588809255
Registry record updated Nov 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
1000188 Issued in TX
Legal business name
SACRED CROSS EMS
Practice address
2341 N Masch Branch Rd
Denton, TX 76207-3291
Phone
(877) 602-2060
Fax
(903) 887-1863
NPI assigned
Dec 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2013

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

Authorized official

Name
Brandon Shepard
Title
Owner
Phone
(877) 602-2060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 1000188 TX Primary

Addresses

Primary practice location

2341 N Masch Branch Rd
Denton, TX 76207-3291

Mailing address

PO Box 447
Krum, TX 76249-0447
Phone (877) 602-2060

Other identifiers 1

IdentifierTypeStateIssuer
1000188OtherTXSTATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090126000610 TX Part B Supplier - Ambulance Service Supplier 1254495823 Practice locations: Krum, TX

National Provider Directory

National Provider Directory

Locations

2341 N Masch Branch Rd
Denton, TX 76207
Phone (940) 482-6184

3765 Masch Branch Rd
Krum, TX 76249
Phone (940) 566-1188

NPI Registry JSON

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1588809255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 447",
            "city": "KRUM",
            "state": "TX",
            "postal_code": "762490447",
            "telephone_number": "877-602-2060",
            "fax_number": "903-887-1863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2341 N MASCH BRANCH RD",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762073291",
            "telephone_number": "877-602-2060",
            "fax_number": "903-887-1863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED CROSS EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-10",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "SHEPARD",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-602-2060"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "1000188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1000188",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.