CORRY MEMORIAL HOSPITAL ASSOCIATION (NPI# 1518411677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518411677 |
| Entity Type | Organization |
| Organization Name | CORRY MEMORIAL HOSPITAL ASSOCIATION |
| Other Organization Name | MULTI SPECIALTY GROUP |
| Practice Address |
965 Shamrock Ln Corry PA 16407-9121 |
| Practice Telephone | 8146644641 |
| Mailing Telephone | 8146644641 |
| Enumeration Date | 2016-08-06 |
| Last Update Date | 2020-03-10 |
| Authorized Official Name | MICHAEL HELLER (CFO) |
| Authorized Official Telephone | 8146644641 |
| Is Organization Subpart | Y |
| Parent Organization Name | CORRY MEMORIAL HOSPITAL ASSOCIATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
03400101 | PA | Hospitals |
| Other Name | Type Code |
|---|---|
| Multi Specialty Group | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841268877 | Corry Memorial Hospital Association | General Acute Care Hospital | 965 Shamrock Lane, Corry, PA 16407 | 2006-03-08 |
| 1255967956 | Corry Memorial Hospital Association | Nurse Practitioner | 101 E High St, Union City, PA 16438-1101 | 2020-03-14 |
| 1255788014 | Corry Memorial Hospital Association | General Acute Care Hospital | 965 Shamrock Ln, Corry, PA 16407-9121 | 2016-05-20 |
| 1124406376 | Corry Memorial Hospital Association | Clinic/Center | 965 Shamrock Lane, Corry, PA 16407-9121 | 2015-05-08 |
| 1780857011 | Corry Memorial Hospital Association | Nurse Practitioner | 300 York St, Corry, PA 16407-1420 | 2008-04-08 |
| 1447210034 | Corry Memorial Hospital Association | Home Health | 612 W Smith St, Corry, PA 16407-1152 | 2006-03-27 |
| 1609845965 | Corry Memorial Hospital Association | Hospice Care, Community Based | 612 W Smith St, Corry, PA 16407-1152 | 2006-03-17 |
| 1326017104 | Corry Memorial Hospital Association | Psychiatric Unit | 612 W Smith St, Corry, PA 16407-1152 | 2006-03-15 |
| 1851369938 | Corry Memorial Hospital Association | Medicare Defined Swing Bed Unit | 965 Shamrock Lane, Corry, PA 16407 | 2006-03-14 |
| Street Address |
965 SHAMROCK LN |
| City | CORRY |
| State | PA |
| Zip Code | 16407-9121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952301814 | Edward E Griffin Jr. | Orthopaedic Surgery | 965 Shamrock Ln, Corry, PA 16407-9121 | 2005-07-21 |
| 1598395808 | Angela Ann Pizer | Dietitian, Registered | 965 Shamrock Ln, Corry, PA 16407-9121 | 2020-01-26 |
| 1184188229 | Joseph Edward Sierota | Pharmacist | 965 Shamrock Ln, Corry, PA 16407-9121 | 2019-01-23 |
| 1255788014 | Corry Memorial Hospital Association | General Acute Care Hospital | 965 Shamrock Ln, Corry, PA 16407-9121 | 2016-05-20 |
| 1144646415 | North Schuylkill Emergency Physicians LLC | Emergency Medicine | 965 Shamrock Ln, Corry, PA 16407-9121 | 2014-03-11 |
| 1700202082 | New Jersey-pennsylvania Em- I Medical Services PC | Physician Assistant | 965 Shamrock Ln, Corry, PA 16407-9121 | 2014-03-11 |
| 1528482007 | Shamrock Lane Emergency Physicians LLC | Emergency Medicine | 965 Shamrock Ln, Corry, PA 16407-9121 | 2014-02-05 |
| 1790025955 | Heath Matthew Yanicko | Internal Medicine | 965 Shamrock Ln, Corry, PA 16407-9121 | 2013-02-26 |
| 1902812431 | Perri Wasserman | Physical Therapist | 965 Shamrock Ln, Corry, PA 16407-1196 | 2006-08-01 |
| 1912975194 | Jonathan L Spaulding | Emergency Medicine | 965 Shamrock Ln, Corry, PA 16407-9121 | 2006-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942524855 | John F Hines | Pharmacist | 827 N Center St, Corry, PA 16407 | 2010-03-22 |
| 1437211307 | Gary Michael Ritten | Obstetrics & Gynecology | 328 York Street, Corry, PA 16407 | 2006-12-15 |
| 1356424881 | Wal-mart Storses East, Lp | Technician/Technologist | 961 Route 6, Corry, PA 16407 | 2006-10-20 |
| 1427144641 | Alan John Vanderweele | Dentist | 335 Worth Street, Corry, PA 16407 | 2006-10-05 |
| 1063421287 | Charles H Durmis | Surgery | 328 York St, Corry, PA 16407 | 2006-08-05 |
| 1841268877 | Corry Memorial Hospital Association | General Acute Care Hospital | 965 Shamrock Lane, Corry, PA 16407 | 2006-03-08 |
| 1164036190 | Thomas William Sloss | Pharmacist | 827 North Center Street, Corry, PA 16407 | 2020-09-08 |
| 1003330804 | Alison Waltier | Pharmacist | 827 N Center St, Corry, PA 16407 | 2017-08-02 |
| 1821456013 | Robin Boboshko-kline | Occupational Therapy Assistant | 640 Worth Street, Corry, PA 16407 | 2016-02-03 |
| 1205159084 | Amy Winchell | Pharmacist | 330 W Columbus Ave, Corry, PA 16407 | 2010-03-08 |
| Find all providers in zip 16407 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841268877 | Corry Memorial Hospital Association | General Acute Care Hospital | 965 Shamrock Lane, Corry, PA 16407 | 2006-03-08 |
| 1255788014 | Corry Memorial Hospital Association | General Acute Care Hospital | 965 Shamrock Ln, Corry, PA 16407-9121 | 2016-05-20 |
| 1811226467 | Corry Memorial Hosital | General Acute Care Hospital | 300 York St, Suite A, Corry, PA 16407-1420 | 2009-12-10 |
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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.