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Organization
CHARLES COLE MEMORIAL HOSPITAL
Active
Organization
CHARLES COLE MEMORIAL HOSPITAL
Active
Other names
Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
ED PITCHFORD CPC (PRESIDENT)
(814) 274-5216
Entity
Organization
Contact information
Practice address
102 S MAIN ST, COUDERSPORT, PA 16915-1304
(814) 274-0394
Mailing address
1001 E 2ND ST, COUDERSPORT, PA 16915-8161
(814) 274-0384
(814) 274-0678
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000011270113
—
PA
Enumeration date
11/09/2006
Last updated
03/28/2018
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