NPIMap

Organization Active NPI

Clear Med Provider Corporation

  • Health Service Clinic/Center
  • Clearfield, PA
National Provider Identifier
1013243039
Registry record updated Aug 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
CLEAR MED PROVIDER CORPORATION
Practice address
531 Hannah St
Clearfield, PA 16830-1209
Phone
(814) 765-1982
Fax
(814) 765-8213
NPI assigned
Oct 27, 2009
Last updated
Aug 1, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
CLEARFIELD HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 1, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rita V Olszewski
Title
Clear Med Administrator
Phone
(814) 768-2356

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X PA Primary
Physician Assistant 363A00000X OA000927 PA
Physician Assistant 363A00000X MA051554 PA
Family Medicine Physician 207Q00000X OS005364L PA
Internal Medicine Physician 207R00000X MD031136L PA

Addresses

Primary practice location

531 Hannah St
Clearfield, PA 16830-1209

Mailing address

809 Turnpike Ave
Clearfield, PA 16830-1232
Phone (814) 768-2356

Other identifiers 1

IdentifierTypeStateIssuer
0166056OtherPAHIGHMARK BCBS ASSIGNMENT ACCOUNT

Other names 1

  • Clearfield Family Care Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Clear Med Provider Corporation6 organizations share this tax ID, including this one
Part of
Clearfield Hospital Ane

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343779200000",
    "number": "1013243039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 TURNPIKE AVE",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168301232",
            "telephone_number": "814-768-2356",
            "fax_number": "814-768-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 HANNAH ST",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168301209",
            "telephone_number": "814-765-1982",
            "fax_number": "814-765-8213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR MED PROVIDER CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLEARFIELD HOSPITAL",
        "enumeration_date": "2009-10-27",
        "last_updated": "2012-08-01",
        "status": "A",
        "authorized_official_last_name": "OLSZEWSKI",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CLEAR MED ADMINISTRATOR",
        "authorized_official_telephone_number": "814-768-2356"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "PA",
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA000927",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA051554",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS005364L",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD031136L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BCBS ASSIGNMENT ACCOUNT",
            "identifier": "0166056",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clearfield Family Care Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clearfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.