Organization
CHARLES COLE MEMORIAL HOSPITAL D/B/A UPMC COLE
Active
Other names
Cole Memorial Proffesional Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
ED PITCHFORD (PRESIDENT)
(814) 274-5216
Entity
Organization
Contact information
Practice address
1001 E 2ND ST, COUDERSPORT, PA 16915-8161
(814) 274-9198
Mailing address
1001 E 2ND ST, COUDERSPORT, PA 16915-8161
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002121109
HIGHMARK BCBS
PA
Enumeration date
08/27/2009
Last updated
03/27/2018
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