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Organization
OLEAN GENERAL HOSPITAL
Active
Organization
OLEAN GENERAL HOSPITAL
Active
Other names
Bradford Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JILL M. OWENS MD (CEO)
(716) 373-2600
Entity
Organization
Contact information
Practice address
116 INTERSTATE PKWY, BRADFORD, PA 16701-1036
(814) 368-4143
Mailing address
116 INTERSTATE PKWY, BRADFORD, PA 16701-1036
(814) 368-4143
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
—
Other
Enumeration date
05/13/2010
Last updated
10/10/2023
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