Clear Med Provider Corporation

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

CLEAR MED PROVIDER CORPORATION

Practice address

815 Doctors Drive
Nathaniel Yingling Cancer Center
Clearfield, PA 16830-1240

Phone

(814) 768-2132

Fax

(814) 768-2135

NPI assigned

May 4, 2010

Last updated

Mar 27, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

CLEARFIELD HOSPITALAs reported in NPPES

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 3

Addresses

Other identifiers 3

Other names 1

• Clear Med Hematology Other name

Part of

Clearfield Hospital Ane

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1083932867",
    "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": "815 DOCTORS DRIVE",
            "address_2": "NATHANIEL YINGLING CANCER CENTER",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168301240",
            "telephone_number": "814-768-2132",
            "fax_number": "814-768-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR MED PROVIDER CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLEARFIELD HOSPITAL",
        "enumeration_date": "2010-05-04",
        "last_updated": "2012-03-27",
        "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": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA052861",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PA",
            "license": "MD067088L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BCBS ASSIGNMENT ACCOUNT",
            "identifier": "1656848",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BCBS ASSIGNMENT ACCOUNT",
            "identifier": "2502939",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLEAR MED PROVIDER CORPORATION ASSIGNMENT ACCOUNT",
            "identifier": "2158634",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clear Med Hematology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bernadette Clark, LDN
• Gordon Penner Clark, M.D.
• Clear Care Corporation
• Clear Med Provider Corporation
• Clear Med Provider Corporation
• Clear Med Provider Corporation (Clear Med Hospitalist Program)
• Clear Med Provider Corporation
• Clear Med Provider Corporation
• Clear Med Provider Corporation
• Clear Med Provider Corporation

• Health Service Clinic/Center in Clearfield, PA
• Providers in Clearfield, PA by specialty
• Health Service Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.