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Organization

CLARION IMAGE CARE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHARON DOROTHY SPENCE (BILLING ADMINISTRATOR)
(814) 864-9932
Entity
Organization

Contact information

Practice address
1 HOSPITAL DR, CLARION, PA 16214-8501
(814) 226-9500
Mailing address
PO BOX 506, CLARION, PA 16214-0506

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0016066000008
PA
01
952173
BLUECROSS/BLUESHIELD
PA
Enumeration date
02/27/2006
Last updated
08/22/2007
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