| Corry Memorial Hospital Rural Health Clinic | |
|
965 Shamrock Lane Corry PA 16407-9121 | |
| (814) 664-3979 | |
| Not Available |
| Full Name | Corry Memorial Hospital Rural Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 965 Shamrock Lane, Corry, Pennsylvania |
| Authorized Official Name and Position | Barbara D Nichols (PRESIDENT/CEO) |
| Authorized Official Contact | 8146644641 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Corry Memorial Hospital Rural Health Clinic 965 Shamrock Ln Corry PA 16407-9121 Ph: (814) 664-4641 | Corry Memorial Hospital Rural Health Clinic 965 Shamrock Lane Corry PA 16407-9121 Ph: (814) 664-3979 |
| NPI Number | 1124406376 |
|---|---|
| Provider Enumeration Date | 05/08/2015 |
| Last Update Date | 09/26/2019 |
| Medicare PECOS PAC ID | 3971581174 |
|---|---|
| Medicare Enrollment ID | O20160603000043 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124406376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Pennsylvania) | Primary |
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