CORRY MEMORIAL HOSPITAL ASSOCIATION (NPI# 1780857011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780857011 |
| Entity Type | Organization |
| Organization Name | CORRY MEMORIAL HOSPITAL ASSOCIATION |
| Other Organization Name | VAUGH BUILDING RURAL HEALTH CLINIC |
| Practice Address |
300 York St Corry PA 16407-1420 |
| Practice Telephone | 8146658288 |
| Practice Fax Number | 8146648618 |
| Mailing Telephone | 8146658288 |
| Mailing Fax Number | 8146648618 |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-05-14 |
| Authorized Official Name | MR. 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 |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Vaugh Building Rural Health Clinic | 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 |
| 1518411677 | Corry Memorial Hospital Association | General Acute Care Hospital | 965 Shamrock Ln, Corry, PA 16407-9121 | 2016-08-06 |
| 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 |
| 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 |
300 YORK ST |
| City | CORRY |
| State | PA |
| Zip Code | 16407-1420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992788012 | Susan M Kaufman Do | Family Medicine | 300 York St, Suite B, Corry, PA 16407-1420 | 2005-11-22 |
| 1811226467 | Corry Memorial Hosital | General Acute Care Hospital | 300 York St, Suite A, Corry, PA 16407-1420 | 2009-12-10 |
| 1538315395 | Sarah Elizabeth Breon | Family Medicine | 300 York St, Corry, PA 16407-1420 | 2008-08-13 |
| 1457522369 | Orthopaedic & Sports Medicine of Erie PC | Orthopaedic Surgery | 300 York St, Corry, PA 16407-1420 | 2008-03-19 |
| 1144359787 | Aruna Korlepara | Family Medicine | 300 York St, Corry, PA 16407-1420 | 2007-03-02 |
| 1538244900 | Corry Medical Services, Inc. | Family Medicine | 300 York St, Corry, PA 16407-1420 | 2006-10-26 |
| 1861447070 | Nancy Rose Flynn-mcgarvie | Emergency Medicine | 300 York St, Corry, PA 16407-1420 | 2006-05-24 |
| 1174586119 | Tina Hawley | Nurse Practitioner | 300 York St, Corry, PA 16407-1420 | 2006-04-10 |
| 1093777161 | Dva Healthcare Renal Care Inc | Clinic/Center | 300 York St, Corry, PA 16407-1420 | 2006-04-04 |
| 1942288238 | Cheryl A Mongera | Nurse Practitioner | 300 York St, Suite B, Corry, PA 16407-1420 | 2006-01-06 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518151240 | Rogelio A Cruz | Family Medicine | 19011 Hillcrest Dr, Corry, PA 16407-8914 | 2007-09-06 |
| 1932129368 | Medical Group of Corry, Inc | Family Medicine | 315 York St, Corry, PA 16407-1412 | 2006-07-20 |
| 1578535985 | Kurt E Lund | Family Medicine | 1086 Mead Ave, Corry, PA 16407-8503 | 2006-02-02 |
| 1992788012 | Susan M Kaufman Do | Family Medicine | 300 York St, Suite B, Corry, PA 16407-1420 | 2005-11-22 |
| 1003212556 | St Vincent Medical Education and Research Institute Inc | Family Medicine | 315 York St, Corry, PA 16407-1412 | 2014-11-11 |
| 1538315395 | Sarah Elizabeth Breon | Family Medicine | 300 York St, Corry, PA 16407-1420 | 2008-08-13 |
| 1023270741 | Vincent B Proy | Family Medicine | 315 York St, Medical Group of Corry, Inc, Corry, PA 16407-1412 | 2008-06-25 |
| 1124156765 | Mead Avenue Family Practice, Inc. | Family Medicine | 1086 Mead Ave, Corry, PA 16407-8503 | 2007-03-02 |
| 1144359787 | Aruna Korlepara | Family Medicine | 300 York St, Corry, PA 16407-1420 | 2007-03-02 |
| 1538244900 | Corry Medical Services, Inc. | Family Medicine | 300 York St, Corry, PA 16407-1420 | 2006-10-26 |
| Find all providers in CORRY | ||||
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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.