# CLEAR MED PROVIDER CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CLEARFIELD HOSPITAL
- **Other names:** Clear Med Podiatry
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1477784106
- **Legal business name:** CLEARFIELD HOSPITAL
- **Authorized official:** RITA V OLSZEWSKI (CLEAR MED ADMINISTRATOR)
- **Authorized official phone:** (814) 768-2356

## Contact information

- **Practice address:** 820 TURNPIKE AVE, CLEARFIELD, PA 16830-1233
- **Practice address phone:** (814) 765-2006
- **Practice address fax:** (814) 765-8807
- **Mailing address:** 809 TURNPIKE AVE, CLEARFIELD, PA 16830-1232
- **Mailing address phone:** (814) 768-2356
- **Mailing address fax:** (814) 768-2134

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | SC005951 | PA | Yes |
| 261QP1100X | Podiatric Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 07/29/2009
- **Last updated:** 08/02/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2125484 | HIGHMARK ASSIGNMENT ACCOUNT | PA |