Organization
OLEAN GENERAL HOSPITAL
Active
Parent organization
OLEAN GENERAL HOSPITAL
Other names
The Pavilion at BRMC
Organization subpart
Yes
Provider details
NPI number
Legal business name
OLEAN GENERAL HOSPITAL
Authorized official
JILL M. OWENS MD (CEO)
(716) 373-2600
Entity
Organization
Contact information
Practice address
200 PLEASANT STREET, BRADFORD, PA 16701
(814) 362-8599
(814) 363-5110
Mailing address
200 PLEASANT STREET, BRADFORD, PA 16701
(814) 362-8293
(814) 363-5110
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
024702
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0517
HIGH MARK BLUE CROSS
PA
05
—
1007507650046
—
PA
Enumeration date
09/21/2005
Last updated
10/10/2023
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