MEDICARE: SCOTT TOWNSHIP HOSE COMPANY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	04134	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1604587	OTHER	PA	BC OF NEPA/ACCESS CARE 2
3	998572	OTHER	PA	BC/BS OF NEPA
4	0574448	OTHER	PA	AETNA US HEALTHCARE
5	817840	OTHER	PA	FIRST PRIORITY HEALTH

General Provider Information

NPI Number	:	1508892753
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCOTT TOWNSHIP HOSE COMPANY

Provider Business Mailing Address
First Line	:	1027 MONTDALE ROAD
Second Line	:
City	:	SCOTT TOWNSHIP
State	:	PA
Zip	:	18447-9785
Country	:	US
Telephone Number	:	570-254-6666
Fax Number	:	570-254-6138

Provider Business Practice Location Address
First Line	:	1027 MONTDALE ROAD
Second Line	:
City	:	SCOTT TOWNSHIP
State	:	PA
Zip	:	18447-9785
Country	:	US
Telephone Number	:	570-254-6666
Fax Number	:	570-254-6138

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ALEXANDER PRITCHYK
Credential	:
Telephone Number	:	570-254-6666

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	07/23/2013

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Directions to “SCOTT TOWNSHIP HOSE COMPANY ” Practice Location

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