Active NPI
Gale Hose Co No 1 Inc
- Land Ambulance
- Galeton, PA
National Provider Identifier
1295863876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007136150001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040123000974 | PA | Part B Supplier - Ambulance Service Supplier | 1456253905 | Practice locations: Galeton, PA |
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 |
|---|---|---|---|
| 39D2134008 | Gale Hose Co No 1 Inc | Certificate of waiver | Jul 24, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.