CORRY MEMORIAL HOSPITAL ASSOCIATION


Address: 612 W Smith St, Corry, PA 16407-1152
Phone: 8146644641

CORRY MEMORIAL HOSPITAL ASSOCIATION (NPI# 1326017104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326017104
Entity Type Organization
Organization Name CORRY MEMORIAL HOSPITAL ASSOCIATION
Other Organization Name BEHAVIORAL HEALTH UNIT
Practice Address 612 W Smith St
Corry
PA 16407-1152
Practice Telephone 8146644641
Practice Fax Number 8146648799
Mailing Telephone 8146644641
Mailing Fax Number 8146648799
Enumeration Date 2006-03-15
Last Update Date 2009-11-24
Authorized Official Name MS. TAMMY R KECER (PATIENT ACCOUNT MANAGER)
Authorized Official Telephone 8146644641
Is Organization Subpart Y
Parent Organization Name CORRY MEMORIAL HOSPITAL ASSOCIATION

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 273R00000X Psychiatric Unit PA Hospital Units

Other Provider/Organization Names

Other Name Type Code
Behavioral Health Unit Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1841268877 Corry Memorial Hospital Association General Acute Care Hospital 965 Shamrock Lane, Corry, PA 16407 2006-03-08
1255967956 Corry Memorial Hospital Association Nurse Practitioner 101 E High St, Union City, PA 16438-1101 2020-03-14
1518411677 Corry Memorial Hospital Association General Acute Care Hospital 965 Shamrock Ln, Corry, PA 16407-9121 2016-08-06
1255788014 Corry Memorial Hospital Association General Acute Care Hospital 965 Shamrock Ln, Corry, PA 16407-9121 2016-05-20
1124406376 Corry Memorial Hospital Association Clinic/Center 965 Shamrock Lane, Corry, PA 16407-9121 2015-05-08
1780857011 Corry Memorial Hospital Association Nurse Practitioner 300 York St, Corry, PA 16407-1420 2008-04-08
1447210034 Corry Memorial Hospital Association Home Health 612 W Smith St, Corry, PA 16407-1152 2006-03-27
1609845965 Corry Memorial Hospital Association Hospice Care, Community Based 612 W Smith St, Corry, PA 16407-1152 2006-03-17
1851369938 Corry Memorial Hospital Association Medicare Defined Swing Bed Unit 965 Shamrock Lane, Corry, PA 16407 2006-03-14

Office Location

Street Address 612 W SMITH ST
City CORRY
State PA
Zip Code 16407-1152

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376511402 Michael Antoon Emergency Medicine 612 W Smith St, Corry, PA 16407-1152 2006-03-14
1811206360 Nrs Arizona, Pa Radiology 612 W Smith St, Corry, PA 16407-1152 2010-10-01
1629153093 Corry Medical Services, Inc. Nurse Anesthetist, Certified Registered 612 W Smith St, Corry, PA 16407-1152 2006-10-26
1275618647 Corry Medical Services, Inc. Emergency Medicine 612 W Smith St, Corry, PA 16407-1152 2006-10-26
1275620437 Professional Radiology Consultants, PC Specialist 612 W Smith St, Corry, PA 16407-1152 2006-10-09
1407878713 Paul A Mcgeehan Radiology 612 W Smith St, Corry, PA 16407-1152 2006-07-24
1447210034 Corry Memorial Hospital Association Home Health 612 W Smith St, Corry, PA 16407-1152 2006-03-27
1609845965 Corry Memorial Hospital Association Hospice Care, Community Based 612 W Smith St, Corry, PA 16407-1152 2006-03-17
1366411126 Timothy Barrett Emergency Medicine 612 W Smith St, Corry, PA 16407-1152 2006-03-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942524855 John F Hines Pharmacist 827 N Center St, Corry, PA 16407 2010-03-22
1437211307 Gary Michael Ritten Obstetrics & Gynecology 328 York Street, Corry, PA 16407 2006-12-15
1356424881 Wal-mart Storses East, Lp Technician/Technologist 961 Route 6, Corry, PA 16407 2006-10-20
1427144641 Alan John Vanderweele Dentist 335 Worth Street, Corry, PA 16407 2006-10-05
1063421287 Charles H Durmis Surgery 328 York St, Corry, PA 16407 2006-08-05
1841268877 Corry Memorial Hospital Association General Acute Care Hospital 965 Shamrock Lane, Corry, PA 16407 2006-03-08
1164036190 Thomas William Sloss Pharmacist 827 North Center Street, Corry, PA 16407 2020-09-08
1003330804 Alison Waltier Pharmacist 827 N Center St, Corry, PA 16407 2017-08-02
1821456013 Robin Boboshko-kline Occupational Therapy Assistant 640 Worth Street, Corry, PA 16407 2016-02-03
1205159084 Amy Winchell Pharmacist 330 W Columbus Ave, Corry, PA 16407 2010-03-08
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Taxonomy Information

Taxonomy Code 273R00000X
Grouping Hospital Units
Classification Psychiatric Unit

Taxonomy Definition

In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.
Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1366596488 Meadville Medical Center Psychiatric Unit 1034 Grove St., Psychiatric Unit, Meadville, PA 16335-2945 2007-01-23
1023129707 The Children's Institute of Pittsburgh Psychiatric Unit 6301 Northumberland St, Pittsburgh, PA 15217-1360 2006-08-31
1588771216 Pinnacle Health Hospitals Psychiatric Unit 2401 N 3rd St, Harrisburg, PA 17110-1902 2006-08-25
1356354567 Blue Mountain Hospital Psychiatric Unit 211 North 12th Street, Lehighton, PA 18235-1138 2006-08-15
1194755892 Tenet Health System Hahnemann, LLC Psychiatric Unit Broad & Vine Streets, Mailstop 417, Philadelphia, PA 19102-1178 2006-07-05
1649897562 Highlands Hospital and Health Center Psychiatric Unit 401 E Murphy Ave, Connellsville, PA 15425-2724 2020-06-26
1336786276 Somerset Health Services, Inc. Psychiatric Unit 225 S Center Ave, Somerset, PA 15501-2033 2019-12-10
1649746488 Upmc Williamsport Psychiatric Unit 1100 Grampian Blvd, Williamsport, PA 17701-1909 2018-10-19
1184116774 Schuylkill Medical Center - South Jackson Street Psychiatric Unit 700 E Norwegian St, Pottsville, PA 17901-2710 2018-05-31
1629578604 Calvin A Alvesvelez Psychiatric Unit 500 University Dr, Hershey, PA 17033-2360 2018-02-16
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Competitor

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City CORRY
Zip Code 16407

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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