Active NPI
Reliance Hose Company No 1
- Land Ambulance
- Middleburg, PA
National Provider Identifier
1750423000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- RELIANCE HOSE COMPANY NO 1
- Practice address
- 240 E Main St
Middleburg, PA 17842-1147 - Phone
- (570) 837-3940
- NPI assigned
- Feb 13, 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
- Timothy Beachel
- Title
- President
- Phone
- (570) 837-3940
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
240 E Main St
Middleburg, PA 17842-1147
Mailing address
240 E Main St
Middleburg, PA 17842-1147
Phone (570) 837-3940
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0015745610001 | 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 |
|---|---|---|---|---|
| O20090609000330 | PA | Part B Supplier - Ambulance Service Supplier | 4789734930 | Practice locations: Middleburg, PA |
National Provider Directory
National Provider DirectoryLocations
250 E Main St
Middleburg, PA 17842
Phone (570) 837-3940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1279152000000",
"number": "1750423000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 E MAIN ST",
"city": "MIDDLEBURG",
"state": "PA",
"postal_code": "178421147",
"telephone_number": "570-837-3940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 E MAIN ST",
"city": "MIDDLEBURG",
"state": "PA",
"postal_code": "178421147",
"telephone_number": "570-837-3940"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RELIANCE HOSE COMPANY NO 1",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-13",
"last_updated": "2010-07-15",
"status": "A",
"authorized_official_last_name": "BEACHEL",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "570-837-3940"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0015745610001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Middleburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; 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.