Organization
CLEARFIELD HOSPITAL
Active
Other names
Emergency Room
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY MACIOCE (PRESIDENT)
(814) 768-2497
Entity
Organization
Contact information
Practice address
809 TURNPIKE AVE, CLEARFIELD, PA 16830-1232
(814) 765-5341
(814) 768-2344
Mailing address
809 TURNPIKE AVE, P.O. BOX 992, CLEARFIELD, PA 16830-1232
(814) 765-5341
(814) 768-2344
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
291301
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002684486
HIGHMARK BCBS ASSIGNMENT ACCOUNT
PA
Enumeration date
06/15/2006
Last updated
11/30/2016
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