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OLEAN GENERAL HOSPITAL NPI 1073956850


NPI Information

NPI: 1073956850
Provider Name: OLEAN GENERAL HOSPITAL

Doing Business As: FOOTHILLS MEDICAL GROUP AT BRMC RHC

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
116 INTERSTATE PKWY
SUITE 42
BRADFORD, PA
ZIP 16701
Phone: (814) 362-8390
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OLEAN GENERAL HOSPITAL is a pediatrics in Bradford, PA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. OLEAN GENERAL HOSPITAL NPI is 1073956850. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Foothills Medical Group At Brmc Rhc.

The provider's business location address is:

116 INTERSTATE PKWY
SUITE 42
BRADFORD, PA
ZIP 16701-036
Phone: (814) 362-8390
Fax: (814) 362-8385

The provider's authorized official is Jill M Owens .
The authorized official title is Ceo and has the following contact phone number (716) 373-2600.

The enumeration date for this NPI number is 4/11/2013 and was last updated on 10/10/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine5141201PENNSYLVANIANo
2363LF0000XNurse PractitionerFamilyNo
3208000000XPediatrics5141201PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11007755030043MEDICAIDPENNSYLVANIA
2393420OTHERPENNSYLVANIACMS CERTIFICATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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