Provider Demographics
NPI:1104970367
Name:MCKEAN HOSE COMPANY
Entity type:Organization
Organization Name:MCKEAN HOSE COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF 400
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-476-7321
Mailing Address - Street 1:5011 SCHOOL ST
Mailing Address - Street 2:PO BOX 241
Mailing Address - City:MCKEAN
Mailing Address - State:PA
Mailing Address - Zip Code:16426-0241
Mailing Address - Country:US
Mailing Address - Phone:814-476-7321
Mailing Address - Fax:814-476-0631
Practice Address - Street 1:5011 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:MC KEAN
Practice Address - State:PA
Practice Address - Zip Code:16426-1413
Practice Address - Country:US
Practice Address - Phone:814-476-7321
Practice Address - Fax:814-476-0631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA2502164341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance