CHARLES COLE MEMORIAL HOSPITAL (NPI# 1578637989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578637989 |
| Entity Type | Organization |
| Organization Name | CHARLES COLE MEMORIAL HOSPITAL |
| Other Organization Name | COUDERSPORT FAMILY MEDICINE |
| Practice Address |
1001 E 2nd St Coudersport PA 16915-8161 |
| Practice Telephone | 8142749198 |
| Mailing Telephone | 8142749198 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2018-03-28 |
| Authorized Official Name | EDWARD PITCHFORD (PRESIDENT) |
| 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 | 100001127-0069 | 05 |
| Other Name | Type Code |
|---|---|
| Coudersport Family Medicine | Doing Business As Name - Organization |
| Coudersport Family Medicine | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932382058 | Charles Cole Memorial Hospital | Orthopaedic Surgery | 3132 Route 417, Olean, NY 14760-1835 | 2007-12-12 |
| 1275605776 | Charles Cole Memorial Hospital | Clinic/Center | 511 Academy St, Ulysses, PA 16948-9580 | 2006-11-14 |
| 1861564106 | Charles Cole Memorial Hospital | Clinic/Center | 222 Church Street, Westfield, PA 16950 | 2006-11-14 |
| 1275605750 | Charles Cole Memorial Hospital | Clinic/Center | 288 Sizerville Rd, Emporium, PA 15834-3944 | 2006-11-14 |
| 1407928757 | Charles Cole Memorial Hospital | Clinic/Center | 128 N Puritan Street, Shinglehouse, PA 16748 | 2006-11-14 |
| 1356794226 | Charles Cole Memorial Hospital | Otolaryngology | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2016-07-15 |
| 1962850792 | Charles Cole Memorial Hospital | Ophthalmology | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2016-06-02 |
| 1992172415 | Charles Cole Memorial Hospital | Internal Medicine | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2015-09-01 |
| 1902273428 | Charles Cole Memorial Hospital | Internal Medicine | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2015-09-01 |
| 1639546153 | Charles Cole Memorial Hospital | Internal Medicine | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2015-09-01 |
| Street Address |
1001 E 2ND ST |
| City | COUDERSPORT |
| State | PA |
| Zip Code | 16915-8161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609868736 | Kathleen M Kerr | Physician Assistant | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2005-08-16 |
| 1205498458 | Nina Lelic Miller | Dentist | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2019-07-08 |
| 1831754308 | Garrett Michael Russell | Physician Assistant | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2019-05-09 |
| 1740742279 | Joshua Hoppe | Physical Therapist | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2019-04-03 |
| 1396202743 | Jackie D Sprow | Nurse Practitioner | 1001 E 2nd St, Coudersport, PA 16915-8179 | 2019-02-21 |
| 1821505983 | Kristine N Ball | Advanced Practice Midwife | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2018-01-10 |
| 1245743103 | Patricia K Stegman | Physician Assistant | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2017-11-14 |
| 1033562707 | Jennifer Davis | Dietitian, Registered | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2016-07-19 |
| 1497108161 | Gena Rasmussen | Dietitian, Registered | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2016-07-19 |
| 1356794226 | Charles Cole Memorial Hospital | Otolaryngology | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2016-07-15 |
| Find all providers in the same location | ||||
| 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 |
| 1134377088 | Charles Cole Memorial Hosptial | 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 |
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| 1922429133 | Tyrone Hospital | Clinic/Center | 221 Hospital Dr Ste 6, Tyrone, PA 16686-1826 | 2013-12-16 |
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| 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.