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Contact Information

CLEAR MED PROVIDER CORPORATION
531 HANNAH ST
SUITE C
CLEARFIELD, PA16830-1209
 Phone: 814-765-5159
 Fax: 814-765-6453
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Service

261QH0100X
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for CLEAR MED PROVIDER CORPORATION

NPI Number 1942430814
LBN Legal business name CLEAR MED PROVIDER CORPORATION
Authorized official RITA OLSZEWSKI - (ADMINISTRATOR, CLEAR MED)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/24/2009
Last updated 08/03/2010 - About 16 years ago
Identifiers
PA License # MD430853
PA Other 2158582 HIGHMARK BCBS ASSIGNMENT ACCOUNT
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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