Ccmh Family Practice

LBN: Charles Cole Memorial Hospital
Ccmh Family Practice is an health care organization with primary practice located at 1001 East Second Street , Coudersport PA 16915. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Charles Cole Memorial Hospital can be contacted via phone (814) 274-9300, or through Pitchford, Ed via phone (814) 274-5216.

Contact Information

Primary practice address
1001 East Second Street Coudersport PA 16915
Phone: (814) 274-9300
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pitchford, Ed
Phone: (814) 274-5216

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1427206291
LBN Legal business name Charles Cole Memorial Hospital
DBA Doing business as Ccmh Family Practice
Authorized official Pitchford, Ed
Entity Organization
Organization subpart 1 No
Enumeration date Sep 4th, 2008
Last updated May 18th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427206291 NPPES
Pennsylvania Other 1421648 BLUE SHIELD

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