CHARLES COLE MEMORIAL HOSPTIAL; NPI #1104990514

Contact Information

CHARLES COLE MEMORIAL HOSPTIAL

45 N PINE ST
PORT ALLEGANY, PA 16743-1238

Phone: 814-642-7205
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for CHARLES COLE MEMORIAL HOSPTIAL

NPI # 1104990514

LBN Legal business name CHARLES COLE MEMORIAL HOSPTIAL

Authorized official DANIEL GLUNK - (INTERIM PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/17/2006

Last updated 09/09/2025 - About 9 months ago

Identifiers

PA	Medicaid	100001127-0072
PA	Other	001376403	BLUE SHIELD

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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