CLEAR MED PROVIDER CORPORATION NPI 1790943108

NPI Information

NPI: 1790943108
Provider Name: CLEAR MED PROVIDER CORPORATION

Other Name: CLEAR MED ENT

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

Specialization: Health Service

Address:
807 TURNPIKE AVE
SUITE 230
CLEARFIELD, PA
ZIP 16830
Phone: (814) 768-2822
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CLEAR MED PROVIDER CORPORATION is a health service clinic center in Clearfield, PA. CLEAR MED PROVIDER CORPORATION NPI is 1790943108. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Clear Med Ent.

The provider's business location address is:

807 TURNPIKE AVE
SUITE 230
CLEARFIELD, PA
ZIP 16830-239
Phone: (814) 768-2822
Fax: (814) 768-2821

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 6/2/2008 and was last updated on 6/7/2011.

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	207Y00000X	Otolaryngology		MD430012	PENNSYLVANIA	No
2	207ZP0105X	Pathology	Clinical Pathology/Laboratory Medicine	MD055298L	PENNSYLVANIA	No
3	363A00000X	Physician Assistant		MA051554	PENNSYLVANIA	No
4	261QH0100X	Clinic/Center	Health Service			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	2158598	OTHER	PENNSYLVANIA	HIGHMARK BCBS ASSIGNMENT ACCOUNT
2	044540	MEDICARE PIN	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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