OrganizationActive
Medical Group of Corry, Inc.
NPI 1639211204 · Non-Pharmacy Dispensing Site · Corry, PA
Medical Group of Corry, Inc. is a Non-Pharmacy Dispensing Site organization in Corry, PA (NPI 1639211204).
Provider details
- NPI number
- 1639211204
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc.
- Organization subpart
- Yes
- Authorized official
- Kenny Heine, Director of Operations(858) 625-2990
- License
- MD042733L (PA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
315 York St
Corry, PA 16407-1412
Phone: (814) 664-8686
Street-level locationGet directions
Mailing address
5626 Oberlin Dr
San Diego, CA 92121-1705
Registry dates
- Enumerated
- 2007-02-12
- Last updated
- 2012-10-16
Frequently asked questions
- What is Medical Group of Corry, Inc.'s NPI number?
- Medical Group of Corry, Inc.'s National Provider Identifier (NPI) is 1639211204, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Medical Group of Corry, Inc.?
- Medical Group of Corry, Inc. is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Medical Group of Corry, Inc. located?
- Medical Group of Corry, Inc.'s practice location on file with NPPES is 315 York St, Corry, PA 16407-1412.
- What is Medical Group of Corry, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Medical Group of Corry, Inc. is (814) 664-8686.
- Who is the authorized official for Medical Group of Corry, Inc.?
- The authorized official listed on Medical Group of Corry, Inc.'s NPPES record is Kenny Heine, Director of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Medical Group of Corry, Inc.'s NPI active?
- Yes — Medical Group of Corry, Inc.'s NPI (1639211204) is active in the NPPES registry as of the last update on 2012-10-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.