CHARLES COLE MEMORIAL HOSPITAL
NPI 1649647157
Podiatrist - Foot & Ankle Surgery in Coudersport, PA

Active since September 01, 2015
1001 E 2ND ST, COUDERSPORT, PA 16915(814) 642-2505 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

  • Organization
  • Podiatrist
  • Foot & Ankle Surgery

About CHARLES COLE MEMORIAL HOSPITAL

This page provides the complete NPI Profile along with additional information for Charles Cole Memorial Hospital, a provider established in Coudersport, Pennsylvania operating as a Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1649647157 assigned on September 2015. The practitioner's primary taxonomy code is 213ES0103X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Daniel James Glunk (Interim President)

NPI
1649647157 Verify this NPI
Provider Name
CHARLES COLE MEMORIAL HOSPITAL
Other Name Type
(6)
Entity Type
Organization
Location Address
1001 E 2ND ST COUDERSPORT, PA 16915
Location Phone
(814) 642-2505
Mailing Address
1001 E 2ND ST COUDERSPORT, PA 16915
Mailing Phone
(814) 642-2505
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-01-2015
Last Update Date
09-09-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Podiatrist Foot & Ankle Surgery

Taxonomy Code
213ES0103X
Type
Podiatric Medicine & Surgery Service Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DANIEL JAMES GLUNK

Authorized Official Title
INTERIM PRESIDENT
Authorized Official Phone
(570) 321-2284

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Psychiatric Unit
1001 E 2ND ST
COUDERSPORT, PA 16915
Rehabilitation Unit
1001 E 2ND ST
COUDERSPORT, PA 16915
Internal Medicine (Gastroenterology)
1001 E 2ND ST
COUDERSPORT, PA 16915
Social Worker
1001 E 2ND ST
COUDERSPORT, PA 16915
Social Worker (Clinical)
1001 E 2ND ST
COUDERSPORT, PA 16915
Physical Medicine & Rehabilitation
1001 E 2ND ST
COUDERSPORT, PA 16915
Urology
1001 E 2ND ST
COUDERSPORT, PA 16915
Physician Assistant
1001 E 2ND ST, U.S. ROUTE 6 EAST
COUDERSPORT, PA 16915
Emergency Medicine
1001 E 2ND ST
COUDERSPORT, PA 16915
Nurse Anesthetist, Certified Registered
1001 E 2ND ST
COUDERSPORT, PA 16915
Nurse Anesthetist, Certified Registered
1001 E 2ND ST
COUDERSPORT, PA 16915
Obstetrics & Gynecology
1001 E 2ND ST
COUDERSPORT, PA 16915
Physician Assistant (Medical)
1001 E 2ND ST
COUDERSPORT, PA 16915
Obstetrics & Gynecology (Obstetrics)
1001 E 2ND ST
COUDERSPORT, PA 16915
Internal Medicine (Cardiovascular Disease)
1001 E 2ND ST
COUDERSPORT, PA 16915
Internal Medicine (Sleep Medicine)
1001 E 2ND ST
COUDERSPORT, PA 16915
Physical Medicine & Rehabilitation
1001 E 2ND ST
COUDERSPORT, PA 16915
Family Medicine
1001 E 2ND ST
COUDERSPORT, PA 16915
Ophthalmology
1001 E 2ND ST
COUDERSPORT, PA 16915
Physician Assistant
1001 E 2ND ST
COUDERSPORT, PA 16915

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649647157, enumerated as an "organization" on September 01, 2015.

The provider is located at 1001 E 2ND ST COUDERSPORT, PA 16915 and the phone number is (814) 642-2505.

Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.