CHARLES COLE MEMORIAL HOSPITAL
NPI 1457728966
Anesthesiology - Pain Medicine in Coudersport, PA

Active since September 01, 2015
1001 E 2ND ST, COUDERSPORT, PA 16915(814) 274-5228 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: November 01, 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 1457728966) is a healthcare organization registered as a pain medicine 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

NPI1457728966
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameCHARLES COLE MEMORIAL HOSPITAL
Location Address1001 E 2ND STCoudersport, PA 16915-8161
Mailing Address1001 E 2nd StCoudersport, PA 16915-8161 · (814) 274-5228
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 1457728966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
1001 E 2ND ST, Coudersport, PA 16915

Other Names 1

Other NameCole Memorial Pain Management

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
Nephrology
NPI 1285157917
1001 E 2ND ST STE E
Coudersport, PA 16915
(814) 260-5576
✔ PECOS✔ Accepts MedicareSame address
Certified Nurse Midwife (CNM)
NPI 1821505983
1001 E 2ND ST
Coudersport, PA 16915
(814) 274-7101
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1619600640
1001 E 2ND ST
Coudersport, PA 16915
(814) 274-9300
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1396193215
1001 E 2ND ST
Coudersport, PA 16915
(814) 274-9300
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1538488929
1001 E 2ND ST
Coudersport, PA 16915
(814) 274-9300
✔ PECOSSame address
Medical Oncology
NPI 1699724971
1001 E 2ND ST
Coudersport, PA 16915
(814) 655-7089
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1225237332
1001 E 2ND ST
Coudersport, PA 16915
(814) 274-0900
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1891138863
1001 E 2ND ST STE N
Coudersport, PA 16915
(814) 274-7101
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1306873492
1001 E 2ND ST
Coudersport, PA 16915
(814) 274-0900
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1164840690
1001 E 2ND ST
Coudersport, PA 16915
(814) 274-0300
✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1952198996
1001 E 2ND ST
Coudersport, PA 16915
(814) 274-7101
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1902538572
1001 E 2ND ST
Coudersport, PA 16915
(814) 320-3167
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1205195054
1001 E 2ND ST
Coudersport, PA 16915
(814) 274-5276
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1528357100
1001 E 2ND ST
Coudersport, PA 16915
(814) 274-9300
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1447321138
1001 E 2ND ST
Coudersport, PA 16915
(814) 274-9300
✔ Accepts MedicareSame address
Internal Medicine
NPI 1720197726
1001 E 2ND ST
Coudersport, PA 16915
(814) 274-5276
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1396186938
1001 E 2ND ST
Coudersport, PA 16915
(814) 274-7474
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1396926374
1001 E 2ND ST STE C
Coudersport, PA 16915
(142) 745-2438
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1114585221
1001 E 2ND ST
Coudersport, PA 16915
(814) 274-9300
✔ PECOS✔ Accepts MedicareSame address
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 1457728966. It was assigned to this organization in the NPPES registry on September 1, 2015. The provider is also known as Cole Memorial Pain Management.

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) 274-5228.

What is Charles Cole Memorial Hospital's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

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.