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Organization

CLEAR MED PROVIDER CORPORATION

Active
Parent organization
CLEARFIELD HOSPITAL
Other names
Clear Med Cardiology
Organization subpart
Yes

Provider details

NPI number
Legal business name
CLEARFIELD HOSPITAL
Authorized official
RITA V OLSZEWSKI (ADMINISTRATOR, CLEAR MED)
(814) 768-2356
Entity
Organization

Contact information

Practice address
531 HANNAH ST, SUITE C, CLEARFIELD, PA 16830-1209
(814) 765-5159
(814) 765-6453
Mailing address
809 TURNPIKE AVE, CLEARFIELD, PA 16830-1232
(814) 768-2356
(814) 768-2134

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD430853
PA
261QH0100X
Health Service Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2158582
HIGHMARK BCBS ASSIGNMENT ACCOUNT
PA
Enumeration date
07/24/2009
Last updated
08/03/2010
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