Provider Demographics
NPI:1134273055
Name:RESCUE HOSE & LADDER COMPANY
Entity type:Organization
Organization Name:RESCUE HOSE & LADDER COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:J
Authorized Official - Last Name:HOOVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-236-1122
Mailing Address - Street 1:422 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:CURWENSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16833-1219
Mailing Address - Country:US
Mailing Address - Phone:814-236-1122
Mailing Address - Fax:814-236-3111
Practice Address - Street 1:422 SOUTH ST
Practice Address - Street 2:
Practice Address - City:CURWENSVILLE
Practice Address - State:PA
Practice Address - Zip Code:16833-1219
Practice Address - Country:US
Practice Address - Phone:814-236-1122
Practice Address - Fax:814-236-3111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0007063990002Medicaid
PA0007063990003Medicaid
PA0007063990002Medicaid