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Organization

OLEAN GENERAL HOSPITAL

Active
Other names
Bradford Regional Medical Center
Organization subpart
No

Provider details

NPI number
Authorized official
NICOLE CLAWSON (REGIONAL DIRECTOR)
(716) 375-7592
Entity
Organization

Contact information

Practice address
116 INTERSTATE PKWY, BRADFORD REGIONAL MEDICAL CENTER, BRADFORD, PA 16701-1036
(814) 368-4143
(814) 362-8695
Mailing address
116 INTERSTATE PKWY, BRADFORD REGIONAL MEDICAL CENTER, BRADFORD, PA 16701-1036
(814) 368-4143
(814) 362-8695

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207RC0000X
Cardiovascular Disease Physician
207RH0003X
Hematology & Oncology Physician
207V00000X
Obstetrics & Gynecology Physician
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
208000000X
Pediatrics Physician
2084N0400X
Neurology Physician
2084P0800X
Psychiatry Physician
208600000X
Surgery Physician
208800000X
Urology Physician
367500000X
Certified Registered Nurse Anesthetist
Primary

Other

Enumeration date
06/13/2006
Last updated
01/13/2020
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