OLEAN GENERAL HOSPITAL (NPI# 1487856324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487856324 |
| Entity Type | Organization |
| Organization Name | OLEAN GENERAL HOSPITAL |
| Other Organization Name | BRADFORD REGIONAL MEDICAL CENTER |
| Practice Address |
116 Interstate Pkwy Bradford PA 16701-1036 |
| Practice Telephone | 8143684143 |
| Practice Fax Number | 8143626426 |
| Mailing Telephone | 8143684143 |
| Mailing Fax Number | 8143626426 |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2020-08-28 |
| Authorized Official Name | CANDACE SWANSON (DIRECTOR OF PATIENT ACCOUNTS) |
| Authorized Official Telephone | 7163757387 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | HP418021L | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007507650017 | 05 |
| Other Name | Type Code |
|---|---|
| Bradford Regional Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124014691 | Olean General Hospital | Skilled Nursing Facility | 200 Pleasant Street, Bradford, PA 16701 | 2005-09-21 |
| 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 |
| 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 |
116 INTERSTATE PKWY |
| City | BRADFORD |
| State | PA |
| Zip Code | 16701-1036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134123060 | Nathaniel Lars Graham | Surgery | 116 Interstate Pkwy, Suite 31, Bradford, PA 16701-1036 | 2005-06-09 |
| 1063909661 | Scott Flick | Physician Assistant | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2018-04-18 |
| 1114439023 | Cynthia Simms | Registered Nurse | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2017-11-01 |
| 1396275970 | Mary Siepierski | Physician Assistant | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2017-06-15 |
| 1396287991 | Keystone Medical Services of Bradford PC | Emergency Medicine | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2016-11-14 |
| 1245781426 | Tracy Lynn Andrus | Physician Assistant | 116 Interstate Pkwy, Suite 32, Bradford, PA 16701-1036 | 2016-10-22 |
| 1184081911 | Andrew Davidson | Nurse Practitioner | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2016-01-25 |
| 1699177725 | Megan Powell | Dietitian, Registered | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2014-09-19 |
| 1588076194 | David Hefferan | Nurse Anesthetist, Certified Registered | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2014-05-30 |
| 1073956850 | Olean General Hospital | Family Medicine | 116 Interstate Pkwy, Suite 42, Bradford, PA 16701-1036 | 2013-04-11 |
| Find all providers in the same location | ||||
| 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 | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013046895 | Darling Apothecary, LLC | Pharmacy | 36 Davis St, Bradford, PA 16701-2016 | 2007-03-05 |
| 1225145402 | Kph Healthcare Services, Inc. | Pharmacy | 901 Lower Pln, Bradford, VT 05033-8924 | 2006-08-24 |
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| 1386269033 | San Juan Pharmacy LLC | Pharmacy | 200 W Buttonwood St, Reading, PA 19601-2603 | 2020-06-09 |
| 1831719319 | Mark Conklin | Pharmacy | 127 Greenbriar Dr, Wexford, PA 15090-7322 | 2020-04-24 |
| 1912536517 | Hsjc LLC | Pharmacy | 4165 N Franklin St, Philadelphia, PA 19140-2207 | 2020-04-06 |
| 1962036806 | Care Discount Pharmacy | Pharmacy | 5610 Derry St Ste 5, Harrisburg, PA 17111-3518 | 2020-03-01 |
| 1114564945 | Priority Care Rx LLC | Pharmacy | 127 S 5th St Ste 190, Quakertown, PA 18951-1674 | 2019-11-27 |
| 1326683707 | Vista Pharmacy LLC | Pharmacy | 938 N 8th St, Reading, PA 19604-2308 | 2019-11-09 |
| 1750926119 | Dharm Nandan LLC | Pharmacy | 3808 Morrell Ave, Philadelphia, PA 19114-1915 | 2019-11-08 |
| 1871137208 | My Philadelphia Pharmacy Inc | Pharmacy | 2901 E Thompson St, Front Store, Philadelphia, PA 19134 | 2019-10-29 |
| 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.