Organization Active NPI

Gale Hose Co No 1 Inc

  • Land Ambulance
  • Galeton, PA
National Provider Identifier
1295863876
Registry record updated Feb 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
GALE HOSE CO NO 1 INC
Practice address
2 Union St
Galeton, PA 16922-1221
Phone
(814) 435-2160
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2016

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

Authorized official

Name
Linda M Beacker
Title
Billing Officer
Phone
(814) 435-2160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

2 Union St
Galeton, PA 16922-1221

Mailing address

PO Box 223
Galeton, PA 16922-0223
Phone (814) 435-2160

Other identifiers 1

IdentifierTypeStateIssuer
0007136150001MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040123000974 PA Part B Supplier - Ambulance Service Supplier 1456253905 Practice locations: Galeton, PA

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
39D2134008Gale Hose Co No 1 Inc2 Union Street, Galeton, PA 16922Certificate of waiverJul 24, 2027

National Provider Directory

National Provider Directory

Locations

2 Union St
Galeton, PA 16922
Phone (814) 435-2160

27 West St
Galeton, PA 16922
Phone (814) 435-2160

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1295863876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 223",
            "city": "GALETON",
            "state": "PA",
            "postal_code": "169220223",
            "telephone_number": "814-435-2160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 UNION ST",
            "city": "GALETON",
            "state": "PA",
            "postal_code": "169221221",
            "telephone_number": "814-435-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALE HOSE CO NO 1 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "BEACKER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING OFFICER",
        "authorized_official_telephone_number": "814-435-2160"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007136150001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Galeton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.