Provider Demographics
NPI:1871571844
Name:MILROY HOSE COMPANY NO 1
Entity type:Organization
Organization Name:MILROY HOSE COMPANY NO 1
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GILBERT
Authorized Official - Middle Name:G
Authorized Official - Last Name:RHOADES
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:717-667-2433
Mailing Address - Street 1:PO BOX 207
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18105-0207
Mailing Address - Country:US
Mailing Address - Phone:800-473-2278
Mailing Address - Fax:484-664-2015
Practice Address - Street 1:190 COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:MILROY
Practice Address - State:PA
Practice Address - Zip Code:17063-8662
Practice Address - Country:US
Practice Address - Phone:717-667-2433
Practice Address - Fax:717-667-9791
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-09
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA225342OtherBLUE CROSS/BLUE SHIELD
PA0007091110004Medicaid
PA290228OtherKEYSTONE HEALTH PLAN CENTRAL
PA280746Medicare PIN
PA225342OtherBLUE CROSS/BLUE SHIELD