CLEARBROOK FAMILY MEDICINE LLC NPI 1477669901

NPI Information

NPI: 1477669901
Provider Name: CLEARBROOK FAMILY MEDICINE LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
863 S LINCOLN AVE
TYRONE, PA
ZIP 16686
Phone: (814) 684-1245
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CLEARBROOK FAMILY MEDICINE LLC is a family medicine in Tyrone, PA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CLEARBROOK FAMILY MEDICINE LLC NPI is 1477669901. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

863 S LINCOLN AVE
TYRONE, PA
ZIP 16686-349
Phone: (814) 684-1245
Fax: (814) 684-1246

The provider's authorized official is Jason E Henninger .
The authorized official title is Owner/physician and has the following contact phone number (814) 684-1245.

The enumeration date for this NPI number is 8/21/2006 and was last updated on 10/13/2010.

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
1	207Q00000X	Family Medicine		OS009583L	PENNSYLVANIA	Yes

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
1	265732	OTHER	PENNSYLVANIA	HEALTH AMERICA
2	1496395	OTHER	PENNSYLVANIA	HIGHMARK BLUE CROSS
3	42600	OTHER	PENNSYLVANIA	GEISINGER
4	DB3021	OTHER	PENNSYLVANIA	RAILROAD MEDICARE
5	204685	OTHER	PENNSYLVANIA	UPMC
6	G86767	MEDICARE UPIN	PENNSYLVANIA
7	076361	MEDICARE ID-TYPE UNSPECIFIED	PENNSYLVANIA

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

NPI Synchronization or Removal

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