National Provider Identifier Database

MEDICAL GROUP OF CORRY INC
Rural Health


Contact Information

MEDICAL GROUP OF CORRY, INC
315 YORK ST
CORRY, PA16407-1412
Phone: 814-664-8686
Fax: 814-664-9826
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X
Family Medicine 207Q00000X

* Indicates primary specialty

NPI Profile & details for MEDICAL GROUP OF CORRY, INC

NPI Number 1932129368
Legal business name
LBN
MEDICAL GROUP OF CORRY, INC
Authorized official PETER ALBRIGHT - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 07/20/2006
Last updated 05/21/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • PA Medicaid: 0006472600016
  • PA Other: 463990 HIGHMARK BLUE SHIELD

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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