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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
1229 S 2ND ST, CLEARFIELD, PA 16830-3305
(814) 765-0221
Mailing address
1229 S 2ND ST, PO BOX 1411, CLEARFIELD, PA 16830-3305
(814) 765-0221
(814) 765-3011

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OC003396L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01888788
PA
Enumeration date
12/04/2007
Last updated
03/30/2012
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