Organization
CLEAR MED PROVIDER CORPORATION
Active
Organization
CLEAR MED PROVIDER CORPORATION
Active
Parent organization
CLEARFIELD HOSPITAL
Other names
Clear Med Primary Care - Clearfield
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
531 HANNAH ST, CLEARFIELD, PA 16830-1209
(814) 765-2261
(814) 765-4421
Mailing address
809 TURNPIKE AVE, CLEARFIELD, PA 16830-1232
(814) 768-2356
(814) 768-2134
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS009154L
PA
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0166056
HIGHMARK BCBS ASSIGNMENT ACCOUNT
PA
Enumeration date
05/29/2008
Last updated
08/01/2012
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