Organization
MILROY HOSE COMPANY NO 1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GILBERT G RHOADES III (PRESIDENT)
(717) 667-2433
Entity
Organization
Contact information
Practice address
190 COLLEGE AVE, MILROY, PA 17063-8662
(717) 667-2433
(717) 667-9791
Mailing address
PO BOX 207, ALLENTOWN, PA 18105-0207
(800) 473-2278
(484) 664-2015
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007091110004
—
PA
01
—
225342
BLUE CROSS/BLUE SHIELD
PA
01
—
290228
KEYSTONE HEALTH PLAN CENTRAL
PA
Enumeration date
01/09/2006
Last updated
10/18/2023
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