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MEDICAL GROUP OF CORRY INC NPI 1932129368


NPI Information

NPI: 1932129368
Provider Name: MEDICAL GROUP OF CORRY, INC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 39D0894546

Address:
315 YORK ST
CORRY, PA
ZIP 16407
Phone: (814) 664-8686
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MEDICAL GROUP OF CORRY, INC is a rural health clinic center in Corry, PA. MEDICAL GROUP OF CORRY, INC NPI is 1932129368. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

315 YORK ST
CORRY, PA
ZIP 16407-412
Phone: (814) 664-8686
Fax: (814) 664-9826

The provider's authorized official is Peter C Albright .
The authorized official title is Administrator and has the following contact phone number (814) 664-8686.

The CLIA number assigned to this NPI record is 39D0894546 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/20/2006 and was last updated on 5/21/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2261QR1300XClinic/CenterRural HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1463990OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
2463990MEDICARE PINPENNSYLVANIA
30006472600016MEDICAIDPENNSYLVANIA
4393889MEDICARE OSCAR/CERTIFICATIONPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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