OLEAN GENERAL HOSPITAL (NPI# 1124014691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124014691 |
| Entity Type | Organization |
| Organization Name | OLEAN GENERAL HOSPITAL |
| Other Organization Name | THE PAVILION AT BRMC |
| Practice Address |
200 Pleasant Street Bradford PA 16701 |
| Practice Telephone | 8143628599 |
| Practice Fax Number | 8143635110 |
| Mailing Telephone | 8143628293 |
| Mailing Fax Number | 8143635110 |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2020-08-28 |
| Authorized Official Name | NICOLE CLAWSON (REGIONAL DIRECTOR) |
| Authorized Official Telephone | 7163757592 |
| Is Organization Subpart | Y |
| Parent Organization Name | OLEAN GENERAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 024702 | PA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGH MARK BLUE CROSS | 0517 | 01 |
| PA | 1007507650046 | 05 |
| Other Name | Type Code |
|---|---|
| dba Bradford Nursing Pavilion | Doing Business As Name - Organization |
| The Pavilion at BRMC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700426418 | Olean General Hospital | Psychiatric Unit | 515 Main St, Olean, NY 14760-1513 | 2020-01-10 |
| 1053744706 | Olean General Hospital | Family Medicine | 122 West Main Street, Mt. Jewett, PA 16740 | 2013-08-16 |
| 1073956850 | Olean General Hospital | Family Medicine | 116 Interstate Pkwy, Suite 42, Bradford, PA 16701-1036 | 2013-04-11 |
| 1801133210 | Olean General Hospital | Internal Medicine | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2013-01-07 |
| 1164779286 | Olean General Hospital | Nurse Anesthetist, Certified Registered | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2012-08-08 |
| 1063784726 | Olean General Hospital | Pathology | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2012-01-27 |
| 1336411099 | Olean General Hospital | Pediatrics | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2012-01-27 |
| 1245502905 | Olean General Hospital | Internal Medicine | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2012-01-27 |
| 1033499017 | Olean General Hospital | General Acute Care Hospital | 515 Main St, Olean, NY 14760-1513 | 2011-08-23 |
| 1720308117 | Olean General Hospital | Dentist | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2010-06-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | OLEAN GENERAL HOSPITAL | 515 Main St, Olean, NY 14760-1513 |
| New York State Corporations | OLEAN GENERAL HOSPITAL FOUNDATION | 515 Main Street, Olean, New York 14760 |
| Street Address |
200 PLEASANT STREET |
| City | BRADFORD |
| State | PA |
| Zip Code | 16701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557232 | Allison Keller | Pharmacist | 50 Foster Brook Bvld, Bradford, PA 16701 | 2020-10-30 |
| 1043767734 | Asim Makhdom | Orthopaedic Surgery | 195 Pleasant Street, Suite 5, Bradford, PA 16701 | 2016-09-09 |
| 1821435322 | Family Wellness Chiropractic Inc. | Chiropractor | 536 East Main Street, Bradford, PA 16701 | 2013-05-24 |
| 1285983973 | Ashley Lynn Disney | Physician Assistant | 181 Interstate Parkway, Bradford, PA 16701 | 2012-09-10 |
| 1760799563 | Paulinus Joseph Sorg | Physical Therapist | 24 West Washington Street, Bradford, PA 16701 | 2010-09-01 |
| 1215194535 | Jill Lorryn Campbell | Speech-Language Pathologist | 412 Langmaid Ln, Bradford, PA 16701 | 2008-05-22 |
| 1689890048 | Brian Alan Volpe | Dentist | 84 Boylston St, Bradford, PA 16701 | 2007-04-17 |
| 1366564098 | Lori Ann Peterson | Speech-Language Pathologist | 110 Campus Drive, Bradford, PA 16701 | 2007-04-04 |
| 1760507776 | Bruce Lee Sitler | Physical Therapist | Bradford Ecumenical Home, 100 St. Francis Drive, Bradford, PA 16701 | 2007-03-20 |
| 1932294451 | Nancy Marie Fuhrman | Chiropractor | 28 Davis Street, Union Square, Bradford, PA 16701 | 2006-10-03 |
| Find all providers in zip 16701 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457375081 | Hcf of Bradford, Inc. | Skilled Nursing Facility | 50 Langmaid Ln, Bradford, PA 16701-3930 | 2006-07-27 |
| 1831187079 | Bradford Ecumenical Home Inc | Skilled Nursing Facility | 100 Saint Francis Drive, Bradford, PA 16701 | 2005-10-12 |
| 1255704698 | Brn Corporation | Skilled Nursing Facility | 145 Ward Hill Ave, Bradford, MA 01835-6928 | 2015-11-06 |
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| 1922626290 | Brsi, Lp | Skilled Nursing Facility | 303 Walnut St Fl 7, Harrisburg, PA 17101-1825 | 2020-07-13 |
| 1932727591 | 1425 Horsham Snf Operations LLC | Skilled Nursing Facility | 1425 Horsham Road, North Wales, PA 19454-1320 | 2020-07-10 |
| 1184242182 | Conestoga View Snf Operations LLC | Skilled Nursing Facility | 900 E King Street, Lancaster, PA 17602-3272 | 2020-07-07 |
| 1164040168 | Mountain View Snf Operations LLC | Skilled Nursing Facility | 2050 Trevorton Road, Coal Township, PA 17866-9405 | 2020-07-07 |
| 1508484502 | Timber Ridge Snf Operations LLC | Skilled Nursing Facility | 1555 East End Boulevard, Plains Twp, PA 18702-7927 | 2020-07-07 |
| 1205456704 | Embassy Sharon, LLC | Skilled Nursing Facility | 959 E. State Street, Sharon, PA 16146 | 2020-04-24 |
| 1952940785 | Newport Meadows Health and Rehabilitation Center LLC | Skilled Nursing Facility | 41 Newport Avenue, Christina, PA 17509-1305 | 2019-12-26 |
| 1851954176 | Silvercare Skilled Nursing LLC | Skilled Nursing Facility | 2600 W 9th St Unit A, Chester, PA 19013-2040 | 2019-04-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.