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Organization
OLEAN GENERAL HOSPITAL
Active
Organization
OLEAN GENERAL HOSPITAL
Active
Other names
Foot Hills Medical Group at BRMC RHC
Organization subpart
No
Provider details
NPI number
Authorized official
JILL OWENS MD (PRESIDENT)
(716) 373-2600
Entity
Organization
Contact information
Practice address
406 FRANKLIN ST, SMETHPORT, PA 16749-1277
(814) 887-5655
(814) 887-1911
Mailing address
116 INTERSTATE PKWY, BRADFORD, PA 16701-1036
(814) 368-4143
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007755030028
—
PA
Enumeration date
01/07/2013
Last updated
10/10/2023
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