NPIMap

Organization Active NPI

Olean General Hospital

Doing business as Mt. Jewett Health Center RHC

  • Family Medicine Physician
  • Mount Jewett, PA
National Provider Identifier
1053744706
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
514201 Issued in PA
Legal business name
OLEAN GENERAL HOSPITAL
Doing business as
Mt. Jewett Health Center RHC
Practice address
122 West Main Street
Mt. Jewett, PA 16740
Phone
(814) 975-1188
NPI assigned
Aug 16, 2013
Last updated
Oct 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jill M. Owens, MD
Title
Ceo
Phone
(716) 373-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 514201 PA Primary

Addresses

Primary practice location

122 West Main Street
Mt. Jewett, PA 16740

Mailing address

122 West Main Street
Mt. Jewett, PA 16740
Phone (814) 975-1188

Other names 1

  • Mt. Jewett Health Center RHC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Olean General Hosp Card17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1053744706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 WEST MAIN STREET",
            "city": "MT. JEWETT",
            "state": "PA",
            "postal_code": "16740",
            "telephone_number": "814-975-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 WEST MAIN STREET",
            "city": "MT. JEWETT",
            "state": "PA",
            "postal_code": "16740",
            "telephone_number": "814-975-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLEAN GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-16",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "716-373-2600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "514201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt. Jewett Health Center RHC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mt. Jewett Health Center RHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Jewett, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.