Organization
CLEAR MED PROVIDER CORPORATION
Active
Organization
CLEAR MED PROVIDER CORPORATION
Active
Parent organization
CLEARFIELD HOSPITAL
Other names
Moshannon Valley Surgery Clinic
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) 342-9186
(814) 342-6684
Mailing address
809 TURNPIKE AVE, CLEARFIELD, PA 16830-1232
(814) 768-2356
(814) 768-2134
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD014352E
PA
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2158625
HIGHMARK BCBS ASSIGNMENT ACCOUNT
PA
Enumeration date
06/02/2008
Last updated
08/02/2010
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