Organization
CHARLES COLE MEMORIAL HOSPITAL
Active
Other names
Swing Bed Program
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER C. YOST (CFO)
(570) 321-3175
Entity
Organization
Contact information
Practice address
1001 E 2ND ST, COUDERSPORT, PA 16915
(814) 274-9300
Mailing address
1001 E 2ND ST, COUDERSPORT, PA 16915
(814) 274-9300
(814) 274-7085
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
031801
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001127-0106
—
PA
Enumeration date
04/05/2006
Last updated
11/01/2023
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