Organization Active NPI

Reliance Hose Company No 1

  • Land Ambulance
  • Middleburg, PA
National Provider Identifier
1750423000
Registry record updated Jul 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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

Updated by the provider on Jul 15, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0015745610001MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090609000330 PA Part B Supplier - Ambulance Service Supplier 4789734930 Practice locations: Middleburg, PA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.