SACRED HEART MEDICAL EMS INC NPI 1023255874

NPI Information

NPI: 1023255874
Provider Name: SACRED HEART MEDICAL EMS, INC

Doing Business As: SACRED HEART MEDICAL SERVICE

Classification: Ambulance - 341600000X
Entity Type: Organization

Address:
2901 N CAMERON ST
VICTORIA, TX
ZIP 77901
Phone: (361) 649-0814
Get Directions

SACRED HEART MEDICAL EMS, INC is an ambulance in Victoria, TX. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). SACRED HEART MEDICAL EMS, INC NPI is 1023255874. The provider is registered as an organization entity type.
The provider Is Doing Business As Sacred Heart Medical Service.

The provider's business location address is:

2901 N CAMERON ST
VICTORIA, TX
ZIP 77901-931
Phone: (361) 649-0814

The provider's authorized official is Clay Wiatrek .
The authorized official title is President and has the following contact phone number (361) 649-0814.

The CLIA number assigned to this NPI record is 45D2154270 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/15/2009 and was last updated on 4/9/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	341600000X	Ambulance		1000203	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	201481301	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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