Port Allegany Pediatrics

LBN: Charles Cole Memorial Hosptial
Port Allegany Pediatrics is an health care organization with primary practice located at 45 N Pine St , Port Allegany PA 16743-1238. 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 Hosptial can be contacted via phone (814) 642-7205, or through Pitchford, Edward via phone (814) 274-5216.

Contact Information

Primary practice address
45 N Pine St Port Allegany PA 16743-1238
Phone: (814) 642-7205
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pitchford, Edward
Phone: (814) 274-5216

Health care specialties

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

Profile Details

NPI number 1104990514
LBN Legal business name Charles Cole Memorial Hosptial
DBA Doing business as Port Allegany Pediatrics
Authorized official Pitchford, Edward
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2006
Last updated Aug 13th, 2010 - about 15 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 1104990514 NPPES
Pennsylvania Other 001376403 BLUE SHIELD
Pennsylvania MEDICAID 100001127-0072 BLUE SHIELD

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