Clear Med Provider Corporation

Organization Active NPI Hospitalist Physician · Clearfield, PA

NPI 1124324256 · NPPES record last updated Aug 18, 2015

Key facts

NPI
1124324256
Entity type
Organization (NPI type 2)
Primary specialty
Hospitalist Physician 208M00000X
Legal business name
CLEAR MED PROVIDER CORPORATION
Practice address
809 Turnpike Ave
Clearfield, PA 16830-1232
Phone
(800) 446-5090
Fax
(814) 339-6165
NPI assigned
Feb 8, 2011
Organization subpart
No

Authorized official

Name
David McConnell
Title
Cfo
Phone
(814) 375-6431

National Provider Directory

Locations

531 Hannah St
Ste C
Clearfield, PA 16830
Phone (814) 765-4786

807 Turnpike Ave
Ste 120
Clearfield, PA 16830
Phone (814) 765-2261

710 Brisbin St
Houtzdale, PA 16651
Phone (814) 378-7632

1049 N Front St
Ste Mvo
Philipsburg, PA 16866
Phone (814) 342-2740

1049 N Front St
Ste Pcp
Philipsburg, PA 16866
Phone (814) 342-9701

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208M00000X
Hospitalist Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208M00000X PA Yes

Addresses

Primary practice location

809 Turnpike Ave
Clearfield, PA 16830-1232

Mailing address

P O Box 1260
809 Turnpike Avenue
Clearfield, PA 16830-1232
Phone (800) 446-5090

Other identifiers

IdentifierTypeStateIssuer
001829615MedicaidPA
2002724OtherPAHIGHMARK ASSIGNMENT ACCOUNT

Other names

  • Clear Med Hospitalist Program Doing business as

Other providers in Clearfield, PA

All providers in Clearfield, PA · Hospitalist Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.