OrganizationActive
Charles Cole Memorial Hosptial
NPI 1104990514 · Rural Health Clinic/Center · Port Allegany, PA
Provider details
- NPI number
- 1104990514
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Daniel Glunk, Interim President(570) 321-2284
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
45 N Pine St
Port Allegany, PA 16743-1238
Phone: (814) 642-7205
Street-level locationGet directions
Mailing address
45 N Pine St
Port Allegany, PA 16743-1238
Other names (DBA / former)
- Doing business as
- Port Allegany Pediatrics
Registry dates
- Enumerated
- 2006-11-17
- Last updated
- 2025-09-09
- Certified
- 2025-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.