CHARLES COLE MEMORIAL HOSPTIAL (NPI# 1134377088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134377088 |
Entity Type | Organization |
Organization Name | CHARLES COLE MEMORIAL HOSPTIAL |
Other Organization Name | CCMH PEDIATRICS |
Practice Address |
1001 East Second Street Coudersport PA 16915 |
Practice Telephone | 8142749300 |
Enumeration Date | 2008-09-04 |
Last Update Date | 2008-09-04 |
Authorized Official Name | ED PITCHFORD (CEO) |
Authorized Official Telephone | 8142745216 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | BLUE SHIELD | 1376403 | 01 |
Other Name | Type Code |
---|---|
CCMH PEDIATRICS | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295951499 | Charles Cole Memorial Hosptial | Orthopaedic Surgery | 1001 East Second Street, Coudersport, PA 16915 | 2007-04-17 |
1104990514 | Charles Cole Memorial Hosptial | Clinic/Center | 45 N Pine St, Port Allegany, PA 16743-1238 | 2006-11-17 |
Street Address |
1001 EAST SECOND STREET |
City | COUDERSPORT |
State | PA |
Zip Code | 16915 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053646919 | Korin Marie Trumpie | Physician Assistant | 1001 East Second Street, Charles Cole Memorial Hospital, Coudersport, PA 16915 | 2009-10-12 |
1427206291 | Charles Cole Memorial Hospital | Clinic/Center | 1001 East Second Street, Coudersport, PA 16915 | 2008-09-04 |
1427228055 | Ccmh Physical Therapy | Physical Medicine & Rehabilitation | 1001 East Second Street, Coudersport, PA 16915 | 2008-03-11 |
1114195666 | Charles Cole Memorial Hospital D/b/a Upmc Cole | Pharmacist | 1001 East Second Street, Coudersport, PA 16915 | 2008-02-19 |
1134303233 | Ccmh Surgical Specialists | Surgery | 1001 East Second Street, Coudersport, PA 16915 | 2007-12-26 |
1346460250 | Charles Cole Memorial Hospital | Internal Medicine | 1001 East Second Street, Coudersport, PA 16915 | 2007-04-26 |
1295951499 | Charles Cole Memorial Hosptial | Orthopaedic Surgery | 1001 East Second Street, Coudersport, PA 16915 | 2007-04-17 |
1811018393 | Eileen Powell | Physical Medicine & Rehabilitation | 1001 East Second Street, Coudersport, PA 16915 | 2007-04-03 |
1336253293 | Frank W Horn | Surgery | 1001 East Second Street, Coudersport, PA 16915-9762 | 2006-08-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134396930 | Carla J Muirhead | Registered Nurse | 1001 East 2nd Street, Coudersport, PA 16915 | 2008-05-12 |
1396926374 | Jeremy T Reed | Otolaryngology | 1001 E 2nd St Ste C, Coudersport, PA 16915 | 2007-11-19 |
1437274768 | Lynn Meredith Cornish | Dentist | 303 E Maple Street, Coudersport, PA 16915 | 2007-03-19 |
1508911736 | William T Kelley | Emergency Medicine | 1000 East 2nd Street, Coudersport, PA 16915 | 2007-01-25 |
1568569168 | Peter C Ryan | Dentist | 438 East Second St, Coudersport, PA 16915 | 2006-09-19 |
1538193248 | Eagle Emergency Physicians LLC | Emergency Medicine | 1000 E Second St, Emergency Department, Coudersport, PA 16915 | 2006-07-10 |
1245294875 | Victor Douglas Brown | Dentist | 6 Niles Hill Road, Coudersport, PA 16915 | 2006-04-12 |
1316312234 | Cody William Greene | Physical Therapist | 1028 E. Second Street, Coudersport, PA 16915 | 2015-12-03 |
1770958696 | Rosanne Marie Pesock | Occupational Therapy Assistant | 1028 E. Second Street, Coudersport, PA 16915 | 2015-12-03 |
1043685977 | Trisha Marie Bauer | Occupational Therapy Assistant | 1028 E. Second Street, Coudersport, PA 16915 | 2015-12-03 |
Find all providers in zip 16915 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427206291 | Charles Cole Memorial Hospital | Clinic/Center | 1001 East Second Street, Coudersport, PA 16915 | 2008-09-04 |
1033283437 | Charles Cole Memorial Hospital | Clinic/Center | 71 Elk St, Coudersport, PA 16915-9601 | 2006-11-17 |
1578637989 | Charles Cole Memorial Hospital | Clinic/Center | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2006-11-17 |
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---|---|---|---|---|
1487266029 | Upmc Kane | Clinic/Center | 511 South Main Street, Sheffield, PA 16347 | 2020-08-17 |
1174176796 | Cornerstone Coordinated Health Care, LLC | Clinic/Center | 2114 Centre St, Ashland, PA 17921-1015 | 2019-07-23 |
1053873976 | Titusville Area Hospital | Clinic/Center | 10926 State Highway 18, Conneaut Lake, PA 16316-3526 | 2019-04-01 |
1760954721 | The Carbon-schuylkill Community Hospital, Inc. | Clinic/Center | 100 W Patterson St, Suite 201, Lansford, PA 18232 | 2018-12-31 |
1548761935 | The Carbon-schuylkill Community Hospital, Inc. | Clinic/Center | 411 S Shenandoah Rd, Ringtown, PA 17967-9432 | 2018-02-22 |
1790191948 | Dlp Conemaugh Physician Practices LLC | Clinic/Center | 1609 W. Pitt St., Jennerstown, PA 15547 | 2014-07-09 |
1922429133 | Tyrone Hospital | Clinic/Center | 221 Hospital Dr Ste 6, Tyrone, PA 16686-1826 | 2013-12-16 |
1124456157 | Tyrone Hospital | Clinic/Center | 125 Spring Street, Houtzdale, PA 16651 | 2013-10-30 |
1831466937 | Conemaugh Health Initiatives | Clinic/Center | 1611 W. Pitt Street, Jennerstown, PA 15547-0190 | 2011-11-18 |
1245419639 | Pinnacle Health Partners Inc. | Clinic/Center | Hc 1 Box 2170, Tafton, PA 18464-9714 | 2007-11-01 |
Find all providers with the same taxonomy |
City | COUDERSPORT |
Zip Code | 16915 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.