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Organization

COLE CARE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROGER C. YOST (CFO)
(570) 321-3175
Entity
Organization

Contact information

Practice address
1001 E 2ND ST, COUDERSPORT, PA 16915-8161
(814) 274-7250
(814) 274-7427
Mailing address
1001 E 2ND ST, COUDERSPORT, PA 16915-8161
(814) 274-7250
(814) 274-7427

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
PA
332BX2000X
Oxygen Equipment & Supplies (DME)
PA
335E00000X
Prosthetic/Orthotic Supplier
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0010212200003
PA
Enumeration date
11/30/2005
Last updated
04/04/2024
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