# OLEAN GENERAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bradford Regional Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720308117
- **Authorized official:** JILL M. OWENS MD (CEO)
- **Authorized official phone:** (716) 373-2600

## Contact information

- **Practice address:** 116 INTERSTATE PKWY, BRADFORD, PA 16701-1036
- **Practice address phone:** (814) 368-4143
- **Mailing address:** 116 INTERSTATE PKWY, BRADFORD, PA 16701-1036
- **Mailing address phone:** (814) 368-4143

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 541201 | PA | Yes |

## Other

- **Enumeration date:** 06/08/2010
- **Last updated:** 10/10/2023