CHARLES COLE MEMORIAL HOSPTIAL
NPI 1104990514
Clinic/Center - Rural Health in Port Allegany, PA

Active since November 17, 2006
45 N PINE ST, PORT ALLEGANY, PA 16743(814) 642-7205 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles Cole Memorial Hosptial NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES COLE MEMORIAL HOSPTIAL (NPI 1104990514), doing business as Port Allegany Pediatrics, is a healthcare organization registered as a rural health in Port Allegany, Pennsylvania and active in the NPI registry since November 2006. The organization lists Daniel James Glunk, Interim President, as its authorized official.

NPPES Registry Identity

NPI1104990514
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCHARLES COLE MEMORIAL HOSPTIAL
Location Address45 N PINE STPort Allegany, PA 16743-1238
Mailing Address45 N Pine StPort Allegany, PA 16743-1238 · (814) 642-7205
Organization SubpartNo
Authorized OfficialDaniel James GlunkInterim President · (570) 321-2284
Enumeration DateNovember 17, 2006
Last NPPES UpdateSeptember 9, 2025
NPPES CertifiedSeptember 9, 2025
NPI 1104990514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
45 N PINE ST, Port Allegany, PA 16743

Other Names 1

Doing Business AsPort Allegany Pediatrics

Other Identifiers 2

Other001376403PA · Blue Shield
Medicaid100001127-0072PA

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Surgical)
45 N PINE ST
PORT ALLEGANY, PA 16743
Physical Therapist
45 N PINE ST
PORT ALLEGANY, PA 16743
Physical Therapy Assistant
45 N PINE ST
PORT ALLEGANY, PA 16743
Podiatrist
45 N PINE ST
PORT ALLEGANY, PA 16743
Physician Assistant (Medical)
45 N PINE ST
PORT ALLEGANY, PA 16743
Physician Assistant
45 N PINE ST
PORT ALLEGANY, PA 16743
Clinic/Center (Rural Health)
45 N PINE ST
PORT ALLEGANY, PA 16743
Dentist
45 N PINE ST
PORT ALLEGANY, PA 16743

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Cole Memorial Hosptial's NPI number?

The NPI number for Charles Cole Memorial Hosptial is 1104990514. It was assigned to this organization in the NPPES registry on November 17, 2006. The provider is doing business as Port Allegany Pediatrics.

Where is Charles Cole Memorial Hosptial located?

Charles Cole Memorial Hosptial is located at 45 N Pine St, Port Allegany, PA 16743. The listed phone number is (814) 642-7205.

What is Charles Cole Memorial Hosptial's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Charles Cole Memorial Hosptial was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.