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Organization
CLEAR MED PROVIDER CORPORATION
Active
Organization
CLEAR MED PROVIDER CORPORATION
Active
Other names
Clear Med Hospitalist Program
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MCCONNELL (CFO)
(814) 375-6431
Entity
Organization
Contact information
Practice address
809 TURNPIKE AVE, CLEARFIELD, PA 16830-1232
(800) 446-5090
(814) 339-6165
Mailing address
P O BOX 1260, 809 TURNPIKE AVENUE, CLEARFIELD, PA 16830-1232
(800) 446-5090
(814) 339-6165
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
PA
208M00000X
Hospitalist Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001829615
—
PA
01
—
2002724
HIGHMARK ASSIGNMENT ACCOUNT
PA
Enumeration date
02/08/2011
Last updated
08/18/2015
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