Organization
CLEAR MED PROVIDER CORPORATION
Active
Organization
CLEAR MED PROVIDER CORPORATION
Active
Parent organization
CLEARFIELD HOSPITAL
Other names
Clear Med Primary Care - Philipsburg
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
1049 N FRONT ST, PHILIPSBURG, PA 16866-8258
(814) 342-9701
(814) 342-7056
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
MD046900L
PA
207Q00000X
Family Medicine Physician
OS005364L
PA
261QH0100X
Health Service Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
MA051447
PA
363A00000X
Physician Assistant
OA002454
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0166056
HIGHMARK BCBS ASSIGNMENT ACCOUNT
PA
Enumeration date
05/29/2008
Last updated
09/02/2010
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