Organization · Type 2 NPI

Charles Cole Memorial Hospital

Pain Medicine (Anesthesiology) Physician · Coudersport, PA

NPI number 1457728966 Active

Practice location

1001 E 2nd St
Coudersport, PA 16915-8161

Specialties and licenses

Taxonomy	Code	License
Pain Medicine (Anesthesiology) Physician Primary	207LP2900X	None listed

Pain Medicine (Anesthesiology) Physician: An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

145 other providers at this address

NPI record

NPI: 1457728966
Entity type: Organization (Type 2)
Issued: Sep 1, 2015
Last updated: Sep 9, 2025
Status: Active

Other names

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Cole Memorial Pain Management · other name
Cole Memorial Pain Management · other name

Authorized official

Daniel James Glunk
Interim President
(570) 321-2284

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1457728966

Charles Cole Memorial Hospital's National Provider Identifier is 1457728966, issued on Sep 1, 2015. The primary taxonomy on file is Pain Medicine (Anesthesiology) Physician (207LP2900X), and the practice location is in Coudersport, PA. The record was last updated on Sep 9, 2025.