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
108 WEST SMITH STREET, CORRY, PA 16407-1152
(814) 664-7037
(814) 664-7039
Mailing address
PO BOX 76642, CLEVELAND, OH 44101-6500
(814) 664-4641
(814) 663-9900
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
208600000X
Surgery Physician
Primary
—
—
208800000X
Urology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007733850026
—
PA
01
—
CA9106
RAILROAD MEDICARE
PA
Enumeration date
11/24/2006
Last updated
01/31/2011
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