Organization
CHARLES COLE MEMORIAL HOSPITAL
Active
Other names
CHAMPION ORTHOPEDICS & SPORTS MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
ED PITCHFORD (CEO)
(814) 274-5216
Entity
Organization
Contact information
Practice address
3132 ROUTE 417, OLEAN, NY 14760-1835
(716) 372-3212
Mailing address
1001 EAST SECOND STREET, COUDERSPORT, PA 16915
(814) 274-9300
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001738910
HIGHMARK BLUE SHIELD
PA
Enumeration date
12/12/2007
Last updated
05/10/2010
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