CEN CLEAR CHILD SERVICES NPI 1164952677

NPI Information

NPI: 1164952677
Provider Name: CEN CLEAR CHILD SERVICES
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

CLIA Number: 39D2134671

Address:
1633 PHILIPSBURG BIGLER HWY
PHILIPSBURG, PA
ZIP 16866
Phone: (814) 342-5845
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CEN CLEAR CHILD SERVICES is a community health clinic center in Philipsburg, PA. CEN CLEAR CHILD SERVICES NPI is 1164952677. The provider is registered as an organization entity type.

The provider's business location address is:

1633 PHILIPSBURG BIGLER HWY
PHILIPSBURG, PA
ZIP 16866-112
Phone: (814) 342-5845
Fax: (814) 342-0532

The provider's authorized official is Pauline Raab .
The authorized official title is Ceo and has the following contact phone number (814) 342-5678.

The CLIA number assigned to this NPI record is 39D2134671 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/18/2017 and was last updated on 6/16/2018.

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	261QC1500X	Clinic/Center	Community Health			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	100005322	MEDICAID	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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