{"npi":"1164594495","type":"NPI-2","status":"active","name":{"display":"Charles Cole Memorial Hospital","other":[],"organization_name":"CHARLES COLE MEMORIAL HOSPITAL","authorised_official":"Daniel Glunk"},"specialty":{"primary_taxonomy":"261QR1300X","primary_taxonomy_description":"Rural Health Clinic/Center","slug":"rural-health-clinic-center","schema_org_specialty":null,"all":[{"code":"261QR1300X","description":"Rural Health Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"139 MAIN ST","city":"ELDRED","state":"PA","postal_code":"16731","country_code":"US","phone":"8142254241"},{"purpose":"MAILING","street_1":"1001 E 2ND ST","city":"COUDERSPORT","state":"PA","postal_code":"169158161","country_code":"US"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"100001127-0040","state":"PA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20080728000447","type_code":"00-17","type_desc":"PART A PROVIDER - RURAL HEALTH CLINIC","state":"PA","pac_id":"3779487475"}]},"enumeration_date":"2006-11-14","last_updated":"2025-09-09","_meta":{"source":"NPPES","snapshot_date":"2025-09-09","doc_url":"https://findmynpi.com/api"}}