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Organization

CLEAR MED PROVIDER CORPORATION

Active
Parent organization
CLEARFIELD HOSPITAL
Other names
Moshannon Valley Orthopedics
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
1049 N FRONT ST, PHILIPSBURG, PA 16866-8258
(814) 342-2740
(814) 342-3202
Mailing address
809 TURNPIKE AVE, CLEARFIELD, PA 16830-1232
(814) 768-2356
(814) 768-2134

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD038573E
PA
207X00000X
Orthopaedic Surgery Physician
OS007228L
PA
261QH0100X
Health Service Clinic/Center
Primary
363A00000X
Physician Assistant
MA054972
PA
363A00000X
Physician Assistant
OA002720
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2158617
HIGHMARK BCBS ASSIGNMENT ACCOUNT
PA
Enumeration date
04/13/2009
Last updated
03/27/2012
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