Organization
CLEAR MED PROVIDER CORPORATION
Active
Parent organization
CLEARFIELD HOSPITAL
Other names
Clear Med Specialty Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLEARFIELD HOSPITAL
Authorized official
RITA V OLSZEWSKI (ADMINISTRATOR)
(814) 768-2356
Entity
Organization
Contact information
Practice address
807 DOCTORS DR, CLEARFIELD, PA 16830-1240
(814) 765-1484
(814) 765-1575
Mailing address
809 TURNPIKE AVE, CLEARFIELD, PA 16830-1232
(814) 768-2356
(814) 768-2134
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018296150005
—
PA
01
—
2697495
HIGHMARK ASSIGNMENT ACCOUNT
PA
Enumeration date
12/12/2011
Last updated
06/18/2012
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