Organization
OLEAN GENERAL HOSPITAL
Active
Other names
Bradford Regional Medical Center, Bradford Hospital
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
(716) 375-6490
(814) 368-5722
Mailing address
116 INTERSTATE PARKWAY, BRADFORD, PA 16701-1036
(716) 375-6490
(716) 375-7521
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
541201
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0048
BLUE CROSS PROVIDER #
PA
05
—
1007507650005
—
PA
01
—
33010301
MEDICARE
PA
01
—
48
UPMC PROVIDER #
PA
Enumeration date
06/22/2005
Last updated
02/07/2024
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