Organization Name: | CORRY MEMORIAL HOSPITAL |
NPI Number: | 1255788014 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHERRIE L CROWE (CLAIMS MANAGER) |
Mailing Address: | 965 Shamrock Ln Corry |
State: | PA US |
Postal Code: | 164079121 |
Phone Number: | 8146644641 |
Fax Number: | |
NPI Enumeration Date: | 05/20/2016 |
NPI Last Update Date: | 05/20/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 03400101 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |