CORRY MEMORIAL HOSPITAL ASSOCIATION
NPI 1124406376
Clinic/Center - Rural Health in Corry, PA

Active since May 08, 2015CLIA 39D0011492 · Certificate of Compliance
965 SHAMROCK LANE, CORRY, PA 16407(814) 664-3979 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 26, 2019, May 10, 2016 (2 updates tracked since 2016).

About Corry Memorial Hospital Association NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORRY MEMORIAL HOSPITAL ASSOCIATION (NPI 1124406376), doing business as Corry Memorial Hospital Rural Health Clinic, is a healthcare organization registered as a rural health in Corry, Pennsylvania and active in the NPI registry since May 2015. The organization holds a CLIA Certificate of Compliance certificate valid through November 8, 2026 and lists Timothy Scott Mcgahen, Administrator/cfo, as its authorized official.

NPPES Registry Identity

NPI1124406376
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCORRY MEMORIAL HOSPITAL ASSOCIATION
Location Address965 SHAMROCK LANECorry, PA 16407-9121
Mailing Address965 Shamrock LnCorry, PA 16407-9121 · (814) 664-4641
Organization SubpartNo
Authorized OfficialTimothy Scott McgahenAdministrator/cfo · (814) 664-4641
Enumeration DateMay 8, 2015
Last NPPES UpdateSeptember 23, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2025
✔ NPI 1124406376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
965 SHAMROCK LANE, Corry, PA 16407

Other Names 1

Doing Business AsCorry Memorial Hospital Rural Health Clinic

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Corry Memorial Hospital Association is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

38

Medicare enrollment records show 38 clinicians reassign Medicare billing to Corry Memorial Hospital Association, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 7 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 21

Nurse Practitioner10
Podiatry4
Obstetrics/Gynecology3
Gastroenterology2
Internal Medicine2
Orthopedic Surgery2
Anesthesiology1
Cardiovascular Disease (Cardiology)1
13 other specialties13

Nearest to this location (20)

See all 38
Nurse Practitioner
NPI 1124741046
965 SHAMROCK LN
Corry, PA 16407
(814) 665-8288
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1538315395
965 SHAMROCK LN
Corry, PA 16407
(814) 665-8288
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1174905350
965 SHAMROCK LN
Corry, PA 16407
(814) 665-8288
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1356819692
965 SHAMROCK LN
Corry, PA 16407
(814) 665-8288
✔ PECOSSame address
Internal Medicine
NPI 1548498272
965 SHAMROCK LN
Corry, PA 16407
(814) 665-8288
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1114757903
354 CLYMER CORRY RD
Clymer, NY 14724
(716) 355-2248
✔ PECOS7.2 mi
Nurse Practitioner
NPI 1881461523
101 E HIGH ST
Union City, PA 16438
(814) 438-2088
✔ PECOS7.4 mi
Nurse Practitioner
NPI 1538612726
9040 WATTSBURG RD
Erie, PA 16509
(814) 737-0833
✔ PECOS✔ Accepts Medicare18 mi
Geriatric Medicine
NPI 1548436389
5535 PEACH ST FL 1
Erie, PA 16509
(814) 868-3488
✔ PECOS✔ Accepts Medicare23 mi
Neurology
NPI 1013038850
5535 PEACH ST
Erie, PA 16509
(814) 868-3488
✔ PECOS✔ Accepts Medicare23 mi
Endocrinology
NPI 1912161613
5535 PEACH ST
Erie, PA 16509
(814) 868-3488
✔ PECOS✔ Accepts Medicare23 mi
Nephrology
NPI 1285250647
5401 PEACH ST STE 3500
Erie, PA 16509
(814) 868-2179
✔ PECOS✔ Accepts Medicare23 mi
Urology
NPI 1043477334
5401 PEACH ST STE 3600
Erie, PA 16509
(814) 868-2170
✔ PECOS✔ Accepts Medicare23 mi
General Surgery
NPI 1811962202
5401 PEACH ST
Erie, PA 16509
(814) 868-2170
✔ PECOS✔ Accepts Medicare23 mi
Vascular Surgery
NPI 1205231982
5401 PEACH ST STE 3400
Erie, PA 16509
(814) 868-2200
✔ PECOS✔ Accepts Medicare23 mi
Orthopedic Surgery
NPI 1043275233
5401 PEACH ST SUITE 3300
Erie, PA 16509
(814) 868-7840
✔ PECOS✔ Accepts Medicare23 mi
Anesthesiology
NPI 1376639104
5401 PEACH ST STE 3300
Erie, PA 16509
(814) 868-7840
✔ PECOS✔ Accepts Medicare23 mi
Podiatry
NPI 1295172211
5401 PEACH ST STE 3400
Erie, PA 16509
(814) 868-2200
✔ PECOS✔ Accepts Medicare23 mi
Sports Medicine
NPI 1174844310
5401 PEACH ST STE 3500
Erie, PA 16509
(814) 868-2179
✔ PECOS✔ Accepts Medicare23 mi
Pulmonary Disease
NPI 1780065490
204 W 26TH ST
Erie, PA 16508
(814) 864-4755
✔ PECOS✔ Accepts Medicare23 mi
See all 38 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 39D0011492

Corry Memorial Hospital · Corry, PA
Active · expires Nov 8, 2026
CLIA Number39D0011492
Laboratory TypeHospital
Certificate Effective DateNovember 9, 2024
Certificate Expiration DateNovember 8, 2026
Laboratory DirectorDr. Lisa C. Stevens
Laboratory Phone(814) 664-4641
Laboratory LocationCorry Memorial Hospital965 Shamrock Lane, Corry, PA 16407
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Corry Memorial Hospital Association's NPI number?

The NPI number for Corry Memorial Hospital Association is 1124406376. It was assigned to this organization in the NPPES registry on May 8, 2015. The provider is doing business as Corry Memorial Hospital Rural Health Clinic.

Where is Corry Memorial Hospital Association located?

Corry Memorial Hospital Association is located at 965 Shamrock Lane, Corry, PA 16407. The listed phone number is (814) 664-3979.

What is Corry Memorial Hospital Association's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Corry Memorial Hospital Association enrolled in Medicare?

Yes. Corry Memorial Hospital Association is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Corry Memorial Hospital Association?

According to the CMS Revalidation Reassignment List (October 2026 release), 38 clinicians in 21 Medicare specialties reassign their Medicare billing to Corry Memorial Hospital Association. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (10), Podiatry (4) and Obstetrics/Gynecology (3). Of these, 5 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Corry Memorial Hospital Association hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 39D0011492) is associated with this NPI, valid through November 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Corry Memorial Hospital Association accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Corry Memorial Hospital Association as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Corry Memorial Hospital Association was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.