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CHARLES COLE MEMORIAL HOSPITAL
NPI 1366819880
Orthopaedic Surgery in Coudersport, PA

Active since September 01, 2015
1001 E 2ND ST, COUDERSPORT, PA 16915(814) 274-5320 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 9, 2025, Nov 6, 2023 (2 updates tracked since 2023).

About Charles Cole Memorial Hospital NPPES

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

CHARLES COLE MEMORIAL HOSPITAL (NPI 1366819880), doing business as Champion Orthopedics And Sports Medicine, is a healthcare organization registered as an orthopaedic surgery in Coudersport, Pennsylvania and active in the NPI registry since September 2015. The organization lists Daniel James Glunk, Interim President, as its authorized official.

NPPES Registry Identity

NPI1366819880
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameCHARLES COLE MEMORIAL HOSPITAL
Location Address1001 E 2ND STCoudersport, PA 16915-8161
Mailing Address1001 E 2nd StCoudersport, PA 16915-8161 · (814) 274-5320
Phone(814) 274-5320
Organization SubpartNo
Authorized OfficialDaniel James GlunkInterim President · (570) 321-2284
Enumeration DateSeptember 1, 2015
Last NPPES UpdateSeptember 9, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2025
✔ NPI 1366819880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1001 E 2ND ST, Coudersport, PA 16915
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Other Names 1

Doing Business AsChampion Orthopedics And Sports Medicine

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles Cole Memorial Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

106

Medicare enrollment records show 106 clinicians reassign Medicare billing to Charles Cole Memorial Hospital, which bills Medicare for the services they deliver. Of these, 26 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 18

Emergency Medicine20
Certified Registered Nurse Anesthetist (CRNA)16
Nurse Practitioner15
Anesthesiology13
Internal Medicine11
General Surgery7
Family Practice5
Hematology/Oncology3
10 other specialties16

Nearest to this location (20)

See all 106
Mhd Said Al Zein, MD
Nephrology
NPI 1285157917
1001 E 2ND ST STE E
Coudersport, PA 16915
(814) 260-5576
✔ PECOS✔ Accepts MedicareSame address
Kristine Ball, CNM
Certified Nurse Midwife (CNM)
NPI 1821505983
1001 E 2ND ST
Coudersport, PA 16915
(814) 274-7101
✔ PECOS✔ Accepts MedicareSame address
Amanda Budd, CRNP
Nurse Practitioner
NPI 1619600640
1001 E 2ND ST
Coudersport, PA 16915
(814) 274-9300
✔ PECOS✔ Accepts MedicareSame address
John Dresser, DPM
Podiatry
NPI 1396193215
1001 E 2ND ST
Coudersport, PA 16915
(814) 274-9300
✔ PECOS✔ Accepts MedicareSame address
Cara Fink, M.D.
Emergency Medicine
NPI 1538488929
1001 E 2ND ST
Coudersport, PA 16915
(814) 274-9300
✔ PECOSSame address
William Flood, MD
Medical Oncology
NPI 1699724971
1001 E 2ND ST
Coudersport, PA 16915
(814) 655-7089
✔ PECOS✔ Accepts MedicareSame address
Terrance Foust, DO
Orthopedic Surgery
NPI 1225237332
1001 E 2ND ST
Coudersport, PA 16915
(814) 274-0900
✔ PECOS✔ Accepts MedicareSame address
Ethan Gable, M.D.
Obstetrics/Gynecology
NPI 1891138863
1001 E 2ND ST STE N
Coudersport, PA 16915
(814) 274-7101
✔ PECOS✔ Accepts MedicareSame address
Bradley Giannotti, MD
Orthopedic Surgery
NPI 1306873492
1001 E 2ND ST
Coudersport, PA 16915
(814) 274-0900
✔ PECOS✔ Accepts MedicareSame address
Krystal Gibbs, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1164840690
1001 E 2ND ST
Coudersport, PA 16915
(814) 274-0300
✔ Accepts MedicareSame address
Kara Gustin, WHNP-BC
Nurse Practitioner
NPI 1952198996
1001 E 2ND ST
Coudersport, PA 16915
(814) 274-7101
✔ PECOS✔ Accepts MedicareSame address
Nicholas Heiser, DO
Emergency Medicine
NPI 1902538572
1001 E 2ND ST
Coudersport, PA 16915
(814) 320-3167
✔ PECOS✔ Accepts MedicareSame address
Andrea Heller, D.O.
Family Practice
NPI 1205195054
1001 E 2ND ST
Coudersport, PA 16915
(814) 274-5276
✔ PECOS✔ Accepts MedicareSame address
Andrew Kayes, M.D.
Family Practice
NPI 1528357100
1001 E 2ND ST
Coudersport, PA 16915
(814) 274-9300
✔ PECOS✔ Accepts MedicareSame address
Daphne Mcnamara
Certified Registered Nurse Anesthetist (CRNA)
NPI 1447321138
1001 E 2ND ST
Coudersport, PA 16915
(814) 274-9300
✔ Accepts MedicareSame address
Howard Miller, M.D.
Internal Medicine
NPI 1720197726
1001 E 2ND ST
Coudersport, PA 16915
(814) 274-5276
✔ PECOS✔ Accepts MedicareSame address
Michael Nowicki, M.D.
General Surgery
NPI 1396186938
1001 E 2ND ST
Coudersport, PA 16915
(814) 274-7474
✔ PECOS✔ Accepts MedicareSame address
Jeremy Reed, MD
Otolaryngology
NPI 1396926374
1001 E 2ND ST STE C
Coudersport, PA 16915
(142) 745-2438
✔ PECOS✔ Accepts MedicareSame address
Pawan Solanki, MD
Anesthesiology
NPI 1114585221
1001 E 2ND ST
Coudersport, PA 16915
(814) 274-9300
✔ PECOS✔ Accepts MedicareSame address
Brenda Wahlers, MD
Hospitalist
NPI 1306895206
1001 E 2ND ST
Coudersport, PA 16915
(814) 274-9300
✔ PECOS✔ Accepts MedicareSame address
See all 106 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Hospital's NPI number?

The NPI number for Charles Cole Memorial Hospital is 1366819880. It was assigned to this organization in the NPPES registry on September 1, 2015. The provider is doing business as Champion Orthopedics and Sports Medicine.

Where is Charles Cole Memorial Hospital located?

Charles Cole Memorial Hospital is located at 1001 E 2nd St, Coudersport, PA 16915. The listed phone number is (814) 274-5320.

What is Charles Cole Memorial Hospital's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Charles Cole Memorial Hospital enrolled in Medicare?

Yes. Charles Cole Memorial Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Charles Cole Memorial Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 106 clinicians in 18 Medicare specialties reassign their Medicare billing to Charles Cole Memorial Hospital. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Emergency Medicine (20), Certified Registered Nurse Anesthetist (CRNA) (16) and Nurse Practitioner (15). Of these, 26 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Charles Cole Memorial Hospital 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 13 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.