CHARLES COLE MEMORIAL HOSPITAL
NPI 1639546153
Internal Medicine - Gastroenterology in Coudersport, PA
About Charles Cole Memorial Hospital NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLES COLE MEMORIAL HOSPITAL (NPI 1639546153) is a healthcare organization registered as a gastroenterology 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
Specialties & Licenses
Other Names 1
Group Practice 1
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
106Medicare 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
Nearest to this location (20)
See all 106Source: 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 1639546153. It was assigned to this organization in the NPPES registry on September 1, 2015. The provider is also known as Cole Memorial Gastroenterology.
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) 274-9024.
What is Charles Cole Memorial Hospital's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
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.
# Charles Cole Memorial Hospital · NPI 1639546153
Gastroenterology organization in Coudersport, Pennsylvania. Organization record, active in the CMS NPPES registry since September 1, 2015.
## Identity
- **NPI:** 1639546153 (Entity type: Organization)
- **Enumerated:** September 1, 2015
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **Also known as:** Cole Memorial Gastroenterology (Other Name)
- **Organization subpart:** No
- **Authorized official:** Daniel Glunk, INTERIM PRESIDENT
## Practice location
- **Address:** 1001 E 2ND ST, Coudersport, PA 16915-8161
- **Phone:** (814) 274-9024
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 106 clinicians in 18 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (20), Certified Registered Nurse Anesthetist (CRNA) (16), Nurse Practitioner (15); 26 practice at this address; [full list](https://npiprofile.com/npi/1639546153/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1639546153) · Data from the CMS NPPES public registry.