Provider Demographics
NPI:1508892753
Name:SCOTT TOWNSHIP HOSE COMPANY
Entity Type:Organization
Organization Name:SCOTT TOWNSHIP HOSE COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:PRITCHYK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-254-6666
Mailing Address - Street 1:1027 MONTDALE ROAD
Mailing Address - Street 2:
Mailing Address - City:SCOTT TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:18447-9785
Mailing Address - Country:US
Mailing Address - Phone:570-254-6666
Mailing Address - Fax:570-254-6138
Practice Address - Street 1:1027 MONTDALE ROAD
Practice Address - Street 2:
Practice Address - City:SCOTT TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:18447-9785
Practice Address - Country:US
Practice Address - Phone:570-254-6666
Practice Address - Fax:570-254-6138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-22
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA041343416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1010226400001Medicaid
PA1604587OtherBC OF NEPA/ACCESS CARE 2
PA998572OtherBC/BS OF NEPA
PA0574448OtherAETNA US HEALTHCARE
PA817840OtherFIRST PRIORITY HEALTH
PA1010226400001Medicaid