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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) 362-6426
Mailing address
116 INTERSTATE PKWY, BRADFORD, PA 16701-1036
(814) 368-4143
(814) 362-6426

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
HP418021L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007507650017
PA
Enumeration date
06/04/2007
Last updated
10/10/2023
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