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Organization

CLEAR MED PROVIDER CORPORATION

Active
Parent organization
CLEARFIELD HOSPITAL
Other names
Clear Med Bright Horizons
Organization subpart
Yes

Provider details

NPI number
Legal business name
CLEARFIELD HOSPITAL
Authorized official
RITA V OLSZEWSKI (ADMINISTRATOR CLEAR MED)
(814) 768-2356
Entity
Organization

Contact information

Practice address
1033 TURNPIKE AVE, CLEARFIELD, PA 16830-3061
(814) 768-2137
(814) 768-2084
Mailing address
809 TURNPIKE AVE, CLEARFIELD, PA 16830-1232
(814) 768-2356
(814) 768-2134

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CW000309L
PA
1041C0700X
Clinical Social Worker
CW015281
PA
1041C0700X
Clinical Social Worker
SW013007L
PA
1041C0700X
Clinical Social Worker
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
363A00000X
Physician Assistant
MA051098
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
SP010448
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1656848
HIGHMARK ASSIGNMENT ACCOUNT
PA
01
2502939
CLEAR MED PROVIDER CORPORATION HIGHMARK ASSIGNMENT ACCOUNT
PA
Enumeration date
06/02/2008
Last updated
03/27/2012
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