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CLEAR MED PROVIDER CORPORATION NPI 1013243039


NPI Information

NPI: 1013243039
Provider Name: CLEAR MED PROVIDER CORPORATION

Other Name: CLEARFIELD FAMILY CARE CENTER

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
531 HANNAH ST
CLEARFIELD, PA
ZIP 16830
Phone: (814) 765-1982
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CLEAR MED PROVIDER CORPORATION is a health service clinic center in Clearfield, PA. CLEAR MED PROVIDER CORPORATION NPI is 1013243039. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Clearfield Family Care Center.

The provider's business location address is:

531 HANNAH ST
CLEARFIELD, PA
ZIP 16830-209
Phone: (814) 765-1982
Fax: (814) 765-8213

The provider's authorized official is Rita V Olszewski .
The authorized official title is Clear Med Administrator and has the following contact phone number (814) 768-2356.

The enumeration date for this NPI number is 10/27/2009 and was last updated on 8/1/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineOS005364LPENNSYLVANIANo
2207R00000XInternal MedicineMD031136LPENNSYLVANIANo
3363A00000XPhysician AssistantOA000927PENNSYLVANIANo
4363A00000XPhysician AssistantMA051554PENNSYLVANIANo
5261QH0100XClinic/CenterHealth ServicePENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10166056OTHERPENNSYLVANIAHIGHMARK BCBS ASSIGNMENT ACCOUNT
2044540MEDICARE PINPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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