Organization
CLEAR MED PROVIDER CORPORATION
Active
Parent organization
CLEARFIELD HOSPITAL
Other names
Clear Med Hematology
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
815 DOCTORS DRIVE, NATHANIEL YINGLING CANCER CENTER, CLEARFIELD, PA 16830-1240
(814) 768-2132
(814) 768-2135
Mailing address
809 TURNPIKE AVE, CLEARFIELD, PA 16830-1232
(814) 768-2356
(814) 768-2134
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
MD067088L
PA
261QH0100X
Health Service Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
MA052861
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1656848
HIGHMARK BCBS ASSIGNMENT ACCOUNT
PA
01
—
2158634
CLEAR MED PROVIDER CORPORATION ASSIGNMENT ACCOUNT
PA
01
—
2502939
HIGHMARK BCBS ASSIGNMENT ACCOUNT
PA
Enumeration date
05/04/2010
Last updated
03/27/2012
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