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
Mailing address
116 INTERSTATE PKWY, BRADFORD, PA 16701-1036
(814) 368-4143
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
541201
PA
2084N0400X
Neurology Physician
541201
PA
2084P0800X
Psychiatry Physician
Primary
541201
PA
Other
Enumeration date
01/27/2012
Last updated
10/10/2023
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