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Organization
CLEAR MED PROVIDER CORPORATION
Active
Organization
CLEAR MED PROVIDER CORPORATION
Active
Parent organization
CLEARFIELD HOSPITAL
Other names
Clear Med Podiatry
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLEARFIELD HOSPITAL
Authorized official
RITA V OLSZEWSKI (CLEAR MED ADMINISTRATOR)
(814) 768-2356
Entity
Organization
Contact information
Practice address
820 TURNPIKE AVE, CLEARFIELD, PA 16830-1233
(814) 765-2006
(814) 765-8807
Mailing address
809 TURNPIKE AVE, CLEARFIELD, PA 16830-1232
(814) 768-2356
(814) 768-2134
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC005951
PA
261QP1100X
Podiatric Clinic/Center
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2125484
HIGHMARK ASSIGNMENT ACCOUNT
PA
Enumeration date
07/29/2009
Last updated
08/02/2010
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