Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Medical Group of Corry, Inc

Organization Non-Pharmacy Dispensing Site · NPI 1639211204

Medical Group of Corry, Inc is a Non-Pharmacy Dispensing Site in Corry, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.

Licensed in
PA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

315 York St
Corry, PA 16407-1412
Phone: (814) 664-8686
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X · Licence MD042733L (PA)

Record details

NPI number1639211204
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx, Inc
Authorized official Kenny Heine — Director Of Operations · (858) 625-2990
NPI enumeratedFebruary 12, 2007
Last updated in NPPESOctober 16, 2012
Mailing address5626 Oberlin Dr, Suite 110, San Diego, CA 92121-1705