Organization
CHARLES COLE MEMORIAL D/B/A UPMC COLE
Active
Other names
Short Procedure Unit
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 16915-8161
(814) 274-9300
Mailing address
1001 E 2ND ST, COUDERSPORT, PA 16915-8161
(814) 274-9300
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000011270090
—
PA
Enumeration date
03/09/2007
Last updated
11/06/2023
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