Healthcare Provider Details

I. General information

NPI: 1750423000
Provider Name (Legal Business Name): RELIANCE HOSE COMPANY NO 1
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 07/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 E MAIN ST
MIDDLEBURG PA
17842-1147
US

IV. Provider business mailing address

240 E MAIN ST
MIDDLEBURG PA
17842-1147
US

V. Phone/Fax

Practice location:
  • Phone: 570-837-3940
  • Fax:
Mailing address:
  • Phone: 570-837-3940
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: TIMOTHY BEACHEL
Title or Position: PRESIDENT
Credential:
Phone: 570-837-3940