Organization
CHARLES COLE MEMORIAL HOSPITAL
Active
Other names
Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
ED PITCHFORD CPC (PRESIDENT)
(814) 274-5216
Entity
Organization
Contact information
Practice address
102 S MAIN ST, COUDERSPORT, PA 16915-1304
(814) 274-0394
Mailing address
1001 E 2ND ST, COUDERSPORT, PA 16915-8161
(814) 274-0384
(814) 274-0678
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000011270113
—
PA
Enumeration date
11/09/2006
Last updated
03/28/2018
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