Provider Demographics
NPI:1811974793
Name:HOSE COMPANY NO 6 KITTANNING
Entity type:Organization
Organization Name:HOSE COMPANY NO 6 KITTANNING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:TITUS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:724-548-1959
Mailing Address - Street 1:PO BOX 451
Mailing Address - Street 2:108 MULBERRY ST
Mailing Address - City:KITTANNING
Mailing Address - State:PA
Mailing Address - Zip Code:16201-0451
Mailing Address - Country:US
Mailing Address - Phone:724-548-1959
Mailing Address - Fax:724-543-2236
Practice Address - Street 1:108 MULBERRY ST
Practice Address - Street 2:
Practice Address - City:KITTANNING
Practice Address - State:PA
Practice Address - Zip Code:16201-2432
Practice Address - Country:US
Practice Address - Phone:724-548-1959
Practice Address - Fax:724-543-2236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA042443416L0300X
PAA00115806343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered3416L0300XTransportation ServicesAmbulanceLand Transport
Not Answered343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1013635OtherGATEWAY HEALTH PLAN
000000076043OtherTHREE RIVERS HEALTH PLAN
PA0007004660002Medicaid
251369OtherUPMC HEALTH PLANS
PA281326OtherBLUE CROSS BLUE SHIELD
PA281326OtherBLUE CROSS BLUE SHIELD
PA281326OtherBLUE CROSS BLUE SHIELD