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Organization
OLEAN GENERAL HOSPITAL
Active
Organization
OLEAN GENERAL HOSPITAL
Active
Other names
Foothills Medical Group at BRMC RHC
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 STE 41, BRADFORD, PA 16701-1036
(814) 363-9484
(814) 362-3854
Mailing address
908 NIAGARA FALLS BLVD STE 208, NORTH TONAWANDA, NY 14120-2019
(716) 799-1462
(833) 953-2016
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
PA
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
PA
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03927699
—
NY
05
—
1007755030029
—
PA
Enumeration date
01/27/2012
Last updated
10/10/2023
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