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Organization

CLEAR MED PROVIDER CORPORATION

Active
Other names
Clear Med Hospitalist Program
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID MCCONNELL (CFO)
(814) 375-6431
Entity
Organization

Contact information

Practice address
809 TURNPIKE AVE, CLEARFIELD, PA 16830-1232
(800) 446-5090
(814) 339-6165
Mailing address
P O BOX 1260, 809 TURNPIKE AVENUE, CLEARFIELD, PA 16830-1232
(800) 446-5090
(814) 339-6165

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
PA
208M00000X
Hospitalist Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001829615
PA
01
2002724
HIGHMARK ASSIGNMENT ACCOUNT
PA
Enumeration date
02/08/2011
Last updated
08/18/2015
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