Organization
CLEAR-CARE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY L RIDGWAY (PRESIDENT)
(814) 765-0221
Entity
Organization
Contact information
Practice address
1225 S 2ND ST, CLEARFIELD, PA 16830-3305
(814) 765-0221
(814) 765-3590
Mailing address
PO BOX 1411, CLEARFIELD, PA 16830-5411
(814) 765-0221
(814) 765-3590
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040794100
BLACK LUNG
PA
05
—
1000058140007
—
PW
01
—
1476763
UMWA PROVIDER #
PA
01
—
1567870
BLUE CROSS PROVIDER #
PA
01
—
211456
UPMC HEALTH PLAN PROVIDER
PA
01
—
60552
HEALTHAMERICA PROVIDER #
PA
01
—
P034592
TRICARE PROVIDER #
PA
Enumeration date
06/09/2005
Last updated
03/30/2012
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