Organization
CLEAR MED PROVIDER CORPORATION
Active
Parent organization
CLEARFIELD HOSPITAL
Other names
Clear Med ENT
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 230, CLEARFIELD, PA 16830-1239
(814) 768-2822
(814) 768-2821
Mailing address
809 TURNPIKE AVE, CLEARFIELD, PA 16830-1232
(814) 768-2356
(814) 768-2134
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
MD430012
PA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
MD055298L
PA
261QH0100X
Health Service Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
MA051554
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2158598
HIGHMARK BCBS ASSIGNMENT ACCOUNT
PA
Enumeration date
06/02/2008
Last updated
06/07/2011
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