Organization Name: | CHARLES COLE MEMORAIL HOSPITAL |
NPI Number: | 1417919945 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID B ACKER (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 1001 E 2nd St Coudersport |
State: | PA US |
Postal Code: | 169158161 |
Phone Number: | 8142749300 |
Fax Number: | 8142747085 |
NPI Enumeration Date: | 04/03/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NR1301X |
License Number: | 031801 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Rural |
Taxonomy Definition: |