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Organization
CORRY MEDICAL SERVICES, INC.
Active
Organization
CORRY MEDICAL SERVICES, INC.
Active
Parent organization
CORRY MEDICAL SERVICES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CORRY MEDICAL SERVICES, INC.
Authorized official
MR. MICHAEL HELLER (CFO)
(814) 664-4641
Entity
Organization
Contact information
Practice address
612 W SMITH ST, CORRY, PA 16407-1152
(814) 664-4641
(814) 663-9900
Mailing address
PO BOX 76642, CLEVELAND, OH 44101-6500
(814) 664-4641
(814) 663-9900
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007733850004
—
PA
01
—
CG9021
RAILROAD MEDICARE
PA
Enumeration date
10/26/2006
Last updated
10/17/2007
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