Organization
OLEAN GENERAL HOSPITAL
Active
Other names
Bradford Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JILL M. OWENS MD (CEO)
(716) 373-2600
Entity
Organization
Contact information
Practice address
116 INTERSTATE PKWY, BRADFORD, PA 16701-1036
(814) 368-4143
(814) 368-5722
Mailing address
116 INTERSTATE PKWY, BRADFORD, PA 16701-1036
(814) 368-4143
(814) 368-5722
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
940460
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00407034
—
NY
01
—
0907
HIGHMARK BC
PA
05
—
1007507650034
—
PA
05
—
1007507650035
—
PA
01
—
UPMC
UPMC
PA
Enumeration date
01/31/2007
Last updated
10/10/2023
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