Corry Memorial Hospital Association
Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Corry, PA
NPI 1851369938 · NPPES record last updated Sep 23, 2025
Key facts
- NPI
- 1851369938
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medicare Defined Swing Bed Hospital Unit 275N00000X
- Legal business name
- CORRY MEMORIAL HOSPITAL ASSOCIATION
- Practice address
- 965 Shamrock Lane
Corry, PA 16407 - Phone
- (814) 664-4641
- Fax
- (814) 664-8799
- NPI assigned
- Mar 14, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- CORRY MEMORIAL HOSPITAL ASSOCIATION
Authorized official
- Name
- Timothy Scott McGahen
- Title
- Administrator/Cfo
- Phone
- (814) 664-4641
Owners & managing parties with NPI records 2
-
John M Ferretti, DO
Other NPIs with the same Medicare PAC ID 6
Related certifications (CCN) 1
Facilities with the same owner 11
Practitioners 30
-
Neeru Agarwal, DO
-
Amy J Bahl, CRNP
-
Adnan Barazi, MD
-
Carleen Cho, MD
-
Bryan Colligan, DO
-
Lori Mae Dulabon, DO
-
Erik O Esper, D.O.
-
Luxmi Gahlot, MD
-
Kristen Lynn Heard, DPM
-
Alan Kidon, DPM
-
Peter Hopkins Laucks, D.O.
-
Ryan J Lynch, DO
-
Joshua Stelmack, DO
Affiliated clinicians 1
-
John E Balmer Jr., D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Hospital certification: CCN 39Z308
- Legal name
- CORRY MEMORIAL HOSPITAL ASSOCIATION
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 965 Shamrock LN
Corry, PA 16407-9121
All disclosed owners & managing parties 8
| Name | Role | Since | Share |
|---|---|---|---|
| John M Ferretti |
Corporate Director |
Feb 29, 2016 | |
| John J Wilson |
Corporate Director |
Feb 29, 2016 | |
| John J Kalata |
Corporate Director | Jan 1, 2025 | |
| Millcreek Health System |
5% Or Greater Direct Ownership Interest | Feb 29, 2016 | 100% |
| Jasen Diley |
Corporate Director | Jan 1, 2025 | |
| Mary L Eckert |
Corporate Director |
Feb 29, 2016 | |
| Timothy McGahen |
Corporate Officer |
Nov 29, 2020 | |
| W-2 Managing Employee | Dec 9, 2013 | ||
| Latrisha a Hurd |
Corporate Director | Sep 7, 2011 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220806000801 | PA | Part a Provider - Critical Access Hospital | 3971581174 | Practice locations: Corry, PA |
National Provider Directory
- Part of
- Corry Mem Hosp Assn
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | PA | Yes |
Addresses
Primary practice location
965 Shamrock Lane
Corry, PA 16407
Mailing address
965 Shamrock Lane
Corry, PA 16407
Phone (814) 664-4641
Other names
- Swing bed unit
Other providers in Corry, PA
- Corry Memorial Hospital Association
- Corry Memorial Hospital Association
- Corry Memorial Hospital Association
- Corry Memorial Hospital Association
- Corry Memorial Hospital Association
- Counselling Services Center of Southeastern Erie County Inc
- Counselling Services Center of Southeastern Erie County, Inc.
- Counselling Services Center of Southeastern Erie County, Inc.
- Counselling Services Center of Southeastern Erie County, Inc.
- Counselling Services Center of Southeastern Erie County, Inc.
All providers in Corry, PA · Medicare Defined Swing Bed Hospital Unit in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.