Organization
CHARLES COLE MEMORIAL HOSPITAL
Active
Other names
Port Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL JAMES GLUNK (INTERIM PRESIDENT)
(570) 321-2284
Entity
Organization
Contact information
Practice address
45 N PINE ST, PORT ALLEGANY, PA 16743-1238
(814) 642-9655
Mailing address
45 N PINE ST, PORT ALLEGANY, PA 16743-1238
(814) 642-9655
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001127-0072
—
PA
Enumeration date
11/14/2006
Last updated
09/09/2025
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