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Organization

CLEAR MED PROVIDER CORPORATION

Active
Parent organization
CLEARFIELD HOSPITAL
Other names
Clearfield Family Care Center
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
531 HANNAH ST, CLEARFIELD, PA 16830-1209
(814) 765-1982
(814) 765-8213
Mailing address
809 TURNPIKE AVE, CLEARFIELD, PA 16830-1232
(814) 768-2356
(814) 768-2134

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS005364L
PA
207R00000X
Internal Medicine Physician
MD031136L
PA
261QH0100X
Health Service Clinic/Center
Primary
PA
363A00000X
Physician Assistant
MA051554
PA
363A00000X
Physician Assistant
OA000927
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0166056
HIGHMARK BCBS ASSIGNMENT ACCOUNT
PA
Enumeration date
10/27/2009
Last updated
08/01/2012
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