NPIMap

Organization Active NPI

Corry Memorial Hosital

Doing business as Corry Memorial Hospital

  • Critical Access Hospital
  • Corry, PA
National Provider Identifier
1811226467
Registry record updated Dec 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
0340 Issued in PA
Legal business name
CORRY MEMORIAL HOSITAL
Doing business as
Corry Memorial Hospital
Practice address
300 York St
Suite a
Corry, PA 16407-1420
Phone
(814) 665-8288
NPI assigned
Dec 10, 2009
Last updated
Dec 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tammy R Kecer
Title
Patient Accounting Manager
Phone
(814) 664-4641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 0340 PA Primary

Addresses

Primary practice location

300 York St
Suite a
Corry, PA 16407-1420

Mailing address

612 W Smith St
Corry, PA 16407-1152
Phone (814) 664-6464

Other names 1

  • Corry Memorial Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Corry Memorial Hosp Assoc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

300 York St
Ste A
Corry, PA 16407
Phone (814) 665-8288

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260403200000",
    "number": "1811226467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 W SMITH ST",
            "city": "CORRY",
            "state": "PA",
            "postal_code": "164071152",
            "telephone_number": "814-664-6464",
            "fax_number": "814-664-8799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 YORK ST",
            "address_2": "SUITE A",
            "city": "CORRY",
            "state": "PA",
            "postal_code": "164071420",
            "telephone_number": "814-665-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRY MEMORIAL HOSITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-10",
        "last_updated": "2009-12-10",
        "status": "A",
        "authorized_official_last_name": "KECER",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PATIENT ACCOUNTING MANAGER",
        "authorized_official_telephone_number": "814-664-4641"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "PA",
            "license": "0340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corry Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corry, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.