Organization
BOWMAN HEALTH CENTER
Active
Parent organization
CHARLES COLE MEMORIAL HOSPTIAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHARLES COLE MEMORIAL HOSPTIAL
Authorized official
EDWARD PITCHFORD (CHIEF EXECUTIVE OFFICER)
(814) 274-5216
Entity
Organization
Contact information
Practice address
83 S MARVIN ST, SMETHPORT, PA 16749-2031
(814) 887-5395
Mailing address
83 S MARVIN ST, SMETHPORT, PA 16749-2031
(814) 887-5395
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001127-0013
—
PA
01
—
1427206291
HIGHMARK BCBS
—
Enumeration date
11/13/2006
Last updated
10/21/2010
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