| Charles Cole Memorial Hospital | |
|
1001 E 2nd St Coudersport PA 16915-8161 | |
| (814) 274-9198 | |
| Not Available |
| Full Name | Charles Cole Memorial Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 1001 E 2nd St, Coudersport, 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 E 2nd St Coudersport PA 16915-8161 Ph: (814) 274-9198 | Charles Cole Memorial Hospital 1001 E 2nd St Coudersport PA 16915-8161 Ph: (814) 274-9198 |
| NPI Number | 1578637989 |
|---|---|
| Provider Enumeration Date | 11/17/2006 |
| Last Update Date | 09/09/2025 |
| Medicare PECOS PAC ID | 3779487475 |
|---|---|
| Medicare Enrollment ID | O20080724000841 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578637989 | NPI | - | NPPES |
| 100001127-0069 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Charles Cole Memorial Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 71 Elk St, Coudersport, PA 16915 Phone: 814-274-5577 Fax: 814-274-8709 | |
Charles Cole Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 E 2nd St, Coudersport, PA 16915 Phone: 814-274-9300 | |
Charles Cole Memorial Hosptial Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 East Second Street, Coudersport, PA 16915 Phone: 814-274-9300 | |
Charles Cole Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 E 2nd St, Coudersport, PA 16915 Phone: 814-260-5555 | |
Ccmh Syed Bhat Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 E 2nd St, Coudersport, PA 16915 Phone: 814-274-9300 | |
Charles Cole Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 East Second Street, Coudersport, PA 16915 Phone: 814-274-9300 | |
Kathleen A. Rokavec Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 E 2nd St, Coudersport, PA 16915 Phone: 814-274-9300 Fax: 814-274-7085 |