| Organization Name: | CHARLES COLE MEMORIAL HOSPITAL |
| NPI Number: | 1326161662 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ED PITCHFORD (INTERIM CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 1001 E 2nd St Coudersport |
| State: | PA US |
| Postal Code: | 16915 |
| Phone Number: | 8142749300 |
| Fax Number: | |
| NPI Enumeration Date: | 04/10/2007 |
| NPI Last Update Date: | 12/27/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 031801 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |