| Charles Cole Memorial Hospital | |
|
83 S Marvin St Smethport PA 16749-2031 | |
| (515) 981-4887 | |
| Not Available |
| Full Name | Charles Cole Memorial Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 83 S Marvin St, Smethport, Pennsylvania |
| Authorized Official Name and Position | Daniel James Glunk (INTERIM PRESIDENT) |
| Authorized Official Contact | 5703212284 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Cole Memorial Hospital 1001 East Second Street Coudersport PA 16915-8161 Ph: (814) 274-9300 | Charles Cole Memorial Hospital 83 S Marvin St Smethport PA 16749-2031 Ph: (515) 981-4887 |
| NPI Number | 1922243393 |
|---|---|
| Provider Enumeration Date | 12/12/2008 |
| Last Update Date | 09/09/2025 |
| Medicare PECOS PAC ID | 3779487475 |
|---|---|
| Medicare Enrollment ID | O20100902000214 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922243393 | NPI | - | NPPES |
| 1000011270125 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Bowman Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 83 S Marvin St, Smethport, PA 16749 Phone: 814-887-5395 | |
Olean General Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 406 Franklin St, Smethport, PA 16749 Phone: 814-887-5655 Fax: 814-887-1911 | |
Keystone Rural Health Consortia, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17129 Route 6, Smethport, PA 16749 Phone: 814-887-5395 Fax: 814-887-5342 |