Organization
CLEAR MED PROVIDER CORPORATION
Active
Organization
CLEAR MED PROVIDER CORPORATION
Active
Parent organization
CLEARFIELD HOSPITAL
Other names
Clear Med OB/GYN
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
807 TURNPIKE AVE, SUITE 260, CLEARFIELD, PA 16830-1239
(814) 765-4151
(814) 768-7319
Mailing address
809 TURNPIKE AVE, CLEARFIELD, PA 16830-1232
(814) 768-2356
(814) 768-2134
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD432679
PA
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2158606
HIGHMARK BCBS ASSIGNMENT ACCOUNT
PA
Enumeration date
05/29/2008
Last updated
08/03/2010
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