Organization
CCMH SURGICAL SPECIALISTS
Active
Parent organization
CHARLES COLE MEMORIAL HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHARLES COLE MEMORIAL HOSPITAL
Authorized official
ED PITCHFORD (CEO)
(814) 274-5216
Entity
Organization
Contact information
Practice address
1001 EAST SECOND STREET, COUDERSPORT, PA 16915
(814) 274-9300
Mailing address
1001 EAST SECOND STREET, COUDERSPORT, PA 16915
(814) 274-9300
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1867505
BLUE SHIELD PROVIDER #
PA
Enumeration date
12/26/2007
Last updated
12/26/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us