OLEAN GENERAL HOSPITAL NPI 1336411099

NPI Information

  • NPI: 1336411099
  • Provider Name: OLEAN GENERAL HOSPITAL
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Other Name: FOOTHILLS MEDICAL GROUP AT BRMC RHC
  • Address: 116 INTERSTATE PKWY STE 41
    BRADFORD, PA
    ZIP 16701
  • Phone: (814) 363-9484

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NPI Details

OLEAN GENERAL HOSPITAL is a family medicine in Bradford, PA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. OLEAN GENERAL HOSPITAL NPI is 1336411099. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Foothills Medical Group At Brmc Rhc.

The provider's business location address is:

116 INTERSTATE PKWY STE 41
BRADFORD, PA
ZIP 16701-036
Phone: (814) 363-9484
Fax: (814) 362-3854

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 1/27/2012 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
1207R00000XInternal MedicineNo
2208000000XPediatricsPENNSYLVANIANo
3208000000XPediatricsNo
4363LF0000XNurse PractitionerFamilyNo
5207Q00000XFamily MedicinePENNSYLVANIAYes

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
11007755030029MEDICAIDPENNSYLVANIA
203927699MEDICAIDNEW YORK

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: 11/21/2025

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