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Organization

BOWMAN HEALTH CENTER

Active
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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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