Milroy Hose Company No 1

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

MILROY HOSE COMPANY NO 1

Practice address

190 College Ave
Milroy, PA 17063-8662

Phone

(717) 667-2433

Fax

(717) 667-9791

NPI assigned

Jan 9, 2006

Last updated

Oct 18, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gilbert G Rhoades III

Title

President

Phone

(717) 667-2433

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1871571844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181050207",
            "telephone_number": "800-473-2278",
            "fax_number": "484-664-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 COLLEGE AVE",
            "city": "MILROY",
            "state": "PA",
            "postal_code": "170638662",
            "telephone_number": "717-667-2433",
            "fax_number": "717-667-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILROY HOSE COMPANY NO 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-09",
        "last_updated": "2023-10-18",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "RHOADES",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-667-2433",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007091110004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN CENTRAL",
            "identifier": "290228",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "225342",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.