Organization
CHARLES COLE MEMORIAL HOSPITAL
Active
Other names
Bowman 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
83 S MARVIN ST, SMETHPORT, PA 16749-2031
(515) 981-4887
Mailing address
1001 EAST SECOND STREET, COUDERSPORT, PA 16915-8161
(814) 274-9300
(814) 274-0807
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000011270125
—
PA
Enumeration date
12/12/2008
Last updated
09/09/2025
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