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SWING BED PROGRAM
NPI 1487616470
Medicare Defined Swing Bed Unit in Coudersport, PA

Active since April 05, 2006
1001 E 2ND ST, COUDERSPORT, PA 16915(814) 274-9300 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 1, 2023, Apr 13, 2022, Mar 28, 2018 (3 updates tracked since 2018).

About Swing Bed Program NPPES

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

SWING BED PROGRAM (NPI 1487616470) is a healthcare organization registered as a medicare defined swing bed unit in Coudersport, Pennsylvania and active in the NPI registry since April 2006. The organization lists Roger C. Yost, Cfo, as its authorized official.

NPPES Registry Identity

NPI1487616470
Entity TypeOrganization
Primary Taxonomy275N00000X
Legal Business NameCHARLES COLE MEMORIAL HOSPITAL
Location Address1001 E 2ND STCoudersport, PA 16915
Mailing Address1001 E 2nd StCoudersport, PA 16915 · (814) 274-9300 · Fax (814) 274-7085
Phone(814) 274-9300
Organization SubpartNo
Authorized OfficialRoger C. YostCfo · (570) 321-3175
Enumeration DateApril 5, 2006
Last NPPES UpdateNovember 1, 20233 updates tracked since enumeration
NPPES CertifiedNovember 1, 2023
✔ NPI 1487616470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMedicare Defined Swing Bed UnitHospital Units
Taxonomy Code275N00000X
License✔ Licensed in PA · 031801
Definition
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.
1001 E 2ND ST, Coudersport, PA 16915
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Other Names 1

Other NameSwing Bed Program

Other Identifiers 1

Medicaid100001127-0106PA

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Swing Bed Program is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StatePennsylvaniaEnrollment IDO20070730000820Part A · Critical Access HospitalDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 20

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

M.E. NURBHAI, M.D,, P.C.
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1001 E 2ND ST
COUDERSPORT, PA 16915
Potter County (814) 274-7761
BETH PANTUSO PHDH
Dental Hygienist
1001 E 2ND ST
COUDERSPORT, PA 16915
Potter County (814) 274-9198
CHARLES COLE MEMORIAL HOSPITAL PATHOLOGY
Pathology (Clinical Pathology/Laboratory Medicine)
1001 E 2ND ST
COUDERSPORT, PA 16915
Potter County (814) 274-9300
TAREK QUTOB MD
Internal Medicine (Gastroenterology)
1001 E 2ND ST
COUDERSPORT, PA 16915
Potter County (814) 274-9024
MANDY COLLINS SILLICK PA-C
Physician Assistant (Medical)
1001 E 2ND ST
COUDERSPORT, PA 16915
Potter County (814) 260-5471
MRS. MANDY MARIE SPENCER PAC
Physician Assistant (Medical)
1001 E 2ND ST
COUDERSPORT, PA 16915
Potter County (814) 274-9300
JENNIFER DAVIS RD, LDN
Dietitian, Registered
1001 E 2ND ST
COUDERSPORT, PA 16915
Potter County (814) 274-9300
MRS. ASHLEY LYNN BOOTERBAUGH MA CF-SLP
Speech-Language Pathologist
1001 E 2ND ST
COUDERSPORT, PA 16915
Potter County (814) 274-5300

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 1487616470. It was assigned to this organization in the NPPES registry on April 5, 2006. The provider is also known as Swing Bed Program.

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) 274-9300.

What is Charles Cole Memorial Hospital's specialty?

The primary specialty registered for this NPI is Medicare Defined Swing Bed Unit with taxonomy code 275N00000X.

Is Charles Cole Memorial Hospital enrolled in Medicare?

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

When is Charles Cole Memorial Hospital's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Pennsylvania, Critical Access Hospital) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for Charles Cole Memorial Hospital was last updated on November 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.