1811974793 NPI number — HOSE COMPANY NO 6 KITTANNING

Table of content: (NPI 1811974793)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811974793 NPI number — HOSE COMPANY NO 6 KITTANNING

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOSE COMPANY NO 6 KITTANNING
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1811974793
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/11/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 451
Provider Second Line Business Mailing Address:
108 MULBERRY ST
Provider Business Mailing Address City Name:
KITTANNING
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
16201-0451
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-548-1959
Provider Business Mailing Address Fax Number:
724-543-2236

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
108 MULBERRY ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KITTANNING
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16201-2432
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-548-1959
Provider Business Practice Location Address Fax Number:
724-543-2236
Provider Enumeration Date:
12/30/2005

Additional Information

Authorized Official

Authorized Official Last Name:
TITUS
Authorized Official First Name:
JAMES
Authorized Official Middle Name:
A
Authorized Official Title or Position:
SECRETARY
Authorized Official Telephone Number:
724-548-1959

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  04244 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 343900000X , with the licence number: A00115806 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1013635 . This is a "GATEWAY HEALTH PLAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 000000076043 . This is a "THREE RIVERS HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0007004660002 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 251369 . This is a "UPMC HEALTH PLANS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 281326 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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