Provider Demographics
NPI:1639306327
Name:RELIANCE HOSE COMPANY #1
Entity Type:Organization
Organization Name:RELIANCE HOSE COMPANY #1
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:BEACHEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-837-0687
Mailing Address - Street 1:240 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17842-1147
Mailing Address - Country:US
Mailing Address - Phone:570-837-3940
Mailing Address - Fax:570-837-2547
Practice Address - Street 1:240 E MAIN ST
Practice Address - Street 2:
Practice Address - City:MIDDLEBURG
Practice Address - State:PA
Practice Address - Zip Code:17842-1147
Practice Address - Country:US
Practice Address - Phone:570-837-3940
Practice Address - Fax:570-837-2547
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-19
Last Update Date:2009-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA5500451341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance