Organization
MEDICAL GROUP OF CORRY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER C ALBRIGHT (ADMINISTRATOR)
(814) 664-8686
Entity
Organization
Contact information
Practice address
315 YORK ST, CORRY, PA 16407-1412
(814) 664-8686
(814) 664-9826
Mailing address
315 YORK ST, CORRY, PA 16407-1412
(814) 664-8686
(814) 664-9826
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006472600016
—
PA
01
—
463990
HIGHMARK BLUE SHIELD
PA
Enumeration date
07/20/2006
Last updated
05/21/2010
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