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Charles Cole Memorial Hospital

Organization Active NPI Family Medicine Physician · Coudersport, PA

NPI 1104042308 · NPPES record last updated Jun 18, 2008

Key facts

NPI
1104042308
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
CHARLES COLE MEMORIAL HOSPITAL
Practice address
1001 E 2ND St
Coudersport, PA 16915-8161
Phone
(814) 274-9300
NPI assigned
Apr 17, 2007
Organization subpart
No

Authorized official

Name
Edward Pitchford
Title
Ceo
Phone
(814) 274-9300

Corporate family (same tax ID) 16

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Behavioral Health Dept (51 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207Q00000X Yes

Addresses

Primary practice location

1001 E 2ND St
Coudersport, PA 16915-8161

Mailing address

1001 E 2ND St
Coudersport, PA 16915-8161

Other identifiers

IdentifierTypeStateIssuer
1379254OtherPAPA BLUE SHIELD

Other names

  • NORTH HILLS FAM PRACT Doing business as

Other providers in Coudersport, PA

All providers in Coudersport, PA · Family Medicine Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.