Healthcare Provider Details

I. General information

NPI: 1861564106
Provider Name (Legal Business Name): CHARLES COLE MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2006
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 CHURCH STREET
WESTFIELD PA
16950
US

IV. Provider business mailing address

222 CHURCH STREET
WESTFIELD PA
16950
US

V. Phone/Fax

Practice location:
  • Phone: 814-367-5971
  • Fax:
Mailing address:
  • Phone: 814-367-5971
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DANIEL JAMES GLUNK
Title or Position: INTERIM PRESIDENT
Credential:
Phone: 570-321-2284