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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
(814) 368-5722
Mailing address
116 INTERSTATE PKWY, BRADFORD, PA 16701-1036
(814) 368-4143
(814) 368-5722
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
940460
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00407034
—
NY
01
—
0907
HIGHMARK BC
PA
05
—
1007507650034
—
PA
05
—
1007507650035
—
PA
01
—
UPMC
UPMC
PA
Enumeration date
01/31/2007
Last updated
10/10/2023
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