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CLEAR MED PROVIDER CORPORATION NPI 1548428220


NPI Information

NPI: 1548428220
Provider Name: CLEAR MED PROVIDER CORPORATION

Other Name: CLEAR MED FAMILY PRACTICE - HOUTZDALE

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

Specialization: Health Service

Address:
710 BRISBIN ST
HOUTZDALE, PA
ZIP 16651
Phone: (814) 378-7632
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CLEAR MED PROVIDER CORPORATION is a health service clinic center in Houtzdale, PA. CLEAR MED PROVIDER CORPORATION NPI is 1548428220. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Clear Med Family Practice - Houtzdale.

The provider's business location address is:

710 BRISBIN ST
HOUTZDALE, PA
ZIP 16651-301
Phone: (814) 378-7632
Fax: (814) 738-5225

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 5/29/2008 and was last updated on 8/2/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineMD071012LPENNSYLVANIANo
2363A00000XPhysician AssistantMA051447PENNSYLVANIANo
3261QH0100XClinic/CenterHealth ServiceYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1044540MEDICARE PINPENNSYLVANIA
20166056OTHERPENNSYLVANIAHIGHMARK ASSIGNMENT ACCOUNT

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: 4/28/2024

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