# CORRY MEDICAL SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CORRY MEDICAL SERVICES, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1629153093
- **Legal business name:** CORRY MEDICAL SERVICES, INC.
- **Authorized official:** MR. MICHAEL HELLER (CFO)
- **Authorized official phone:** (814) 664-4641

## Contact information

- **Practice address:** 612 W SMITH ST, CORRY, PA 16407-1152
- **Practice address phone:** (814) 664-4641
- **Practice address fax:** (814) 663-9900
- **Mailing address:** 612 W SMITH ST, CORRY, PA 16407-1152
- **Mailing address phone:** (814) 664-4641
- **Mailing address fax:** (814) 663-9900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 10/26/2006
- **Last updated:** 03/20/2008