# CHARLES COLE MEM HOME HEALTH HBP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437381829
- **Authorized official:** ED PITCHFORD (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (814) 274-5216

## Contact information

- **Practice address:** 1001 E 2ND ST, COUDERSPORT, PA 16915-8161
- **Practice address phone:** (814) 274-9300
- **Mailing address:** 1001 E 2ND ST, COUDERSPORT, PA 16915-8161
- **Mailing address phone:** (814) 274-9300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | NULL | Yes |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/18/2009
- **Last updated:** 08/18/2009