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Organization
CHARLES COLE MEMORIAL HOSPITAL
Active
Organization
CHARLES COLE MEMORIAL HOSPITAL
Active
Other names
CCMH OBSTETRICS AND GYNECOLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD PITCHFORD (CEO)
(814) 274-9300
Entity
Organization
Contact information
Practice address
1001 E 2ND ST, COUDERSPORT, PA 16915-8161
(814) 274-9300
Mailing address
1001 E 2ND ST, COUDERSPORT, PA 16915-8161
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
—
NULL
207VX0000X
Obstetrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649092
PA BLUE SHIELD
PA
Enumeration date
04/17/2007
Last updated
05/26/2010
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