Organization
CHARLES COLE MEMORIAL HOPSTIAL
Active
Other names
UPMC Cole Clinic Group, Multispecialist Group
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL JAMES GLUNK (INTERIM PRESIDENT)
(570) 321-2284
Entity
Organization
Contact information
Practice address
1001 E 2ND ST, COUDERSPORT, PA 16915-8161
(814) 274-9300
(814) 274-7085
Mailing address
1001 E 2ND ST, COUDERSPORT, PA 16915-8161
(814) 274-9300
(814) 274-7085
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208000000X
Pediatrics Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000011270138
—
PA
Enumeration date
07/03/2006
Last updated
09/09/2025
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