Provider Demographics
NPI:1295863876
Name:GALE HOSE CO NO 1 INC
Entity Type:Organization
Organization Name:GALE HOSE CO NO 1 INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BEACKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-435-2160
Mailing Address - Street 1:PO BOX 223
Mailing Address - Street 2:
Mailing Address - City:GALETON
Mailing Address - State:PA
Mailing Address - Zip Code:16922-0223
Mailing Address - Country:US
Mailing Address - Phone:814-435-2160
Mailing Address - Fax:
Practice Address - Street 1:2 UNION ST
Practice Address - Street 2:
Practice Address - City:GALETON
Practice Address - State:PA
Practice Address - Zip Code:16922-1221
Practice Address - Country:US
Practice Address - Phone:814-435-2160
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2016-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0007136150001Medicaid
PA0007136150001Medicaid
PA207542Medicare PIN