NPIMap

Organization Active NPI

Corry Memorial Hospital Association

  • Medicare Defined Swing Bed Hospital Unit
  • Corry, PA
National Provider Identifier
1851369938
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 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
Last updated
Sep 23, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
CORRY MEMORIAL HOSPITAL ASSOCIATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Authorized official

Name
Timothy Scott McGahen
Title
Administrator/Cfo
Phone
(814) 664-4641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X PA Primary

Addresses

Primary practice location

965 Shamrock Lane
Corry, PA 16407

Mailing address

965 Shamrock Lane
Corry, PA 16407
Phone (814) 664-4641

Other names 1

  • Swing bed unit Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220806000801 PA Part A Provider - Critical Access Hospital 3971581174 Practice locations: Corry, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851369938. Details of each certification follow.

Hospital certification: CCN 39Z308

Legal name
CORRY MEMORIAL HOSPITAL ASSOCIATION
Organization structure
CorporationNon-profit
Enrollment address
965 Shamrock LN
Corry, PA 16407-9121
Hospital Swing-Bed Unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Corry Memorial Hosp Assoc

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
John M Ferretti Individual Corporate DirectorBoard Member Feb 29, 2016
John J Wilson Individual Corporate DirectorBoard Member Feb 29, 2016
John J Kalata Individual Corporate Director Jan 1, 2025
Millcreek Health System Organization, Erie, PA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Feb 29, 2016 100%
Jasen Diley Individual Corporate Director Jan 1, 2025
Mary L Eckert Individual Corporate DirectorBoard Member Feb 29, 2016
Timothy McGahen Individual Corporate OfficerChief Financial Officer Nov 29, 2020
W-2 Managing Employee Dec 9, 2013
Latrisha a Hurd Individual Corporate Director Sep 7, 2011

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 11

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1851369938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 SHAMROCK LANE",
            "city": "CORRY",
            "state": "PA",
            "postal_code": "16407",
            "telephone_number": "814-664-4641",
            "fax_number": "814-664-8799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 SHAMROCK LANE",
            "city": "CORRY",
            "state": "PA",
            "postal_code": "16407",
            "telephone_number": "814-664-4641",
            "fax_number": "814-664-8799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRY MEMORIAL HOSPITAL ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CORRY MEMORIAL HOSPITAL ASSOCIATION",
        "enumeration_date": "2006-03-14",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "MCGAHEN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "ADMINISTRATOR/CFO",
        "authorized_official_telephone_number": "814-664-4641"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Swing bed unit",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Corry, PA

Sources for this page

Verify at the official NPI Registry.