Clear Med Provider Corporation

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

CLEAR MED PROVIDER CORPORATION

Practice address

807 Doctors Dr
Clearfield, PA 16830-1240

Phone

(814) 765-1484

Fax

(814) 765-1575

NPI assigned

Dec 12, 2011

Organization subpart

Yes

Parent organization

CLEARFIELD HOSPITALAs reported in NPPES

Name

Rita V Olszewski

Title

Administrator

Phone

(814) 768-2356

Part of

Clearfield Hospital Eme

• Clear Med Specialty Services Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 18, 2012.

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1174891683",
    "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": "807 DOCTORS DR",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168301240",
            "telephone_number": "814-765-1484",
            "fax_number": "814-765-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR MED PROVIDER CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLEARFIELD HOSPITAL",
        "enumeration_date": "2011-12-12",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "OLSZEWSKI",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "814-768-2356"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK ASSIGNMENT ACCOUNT",
            "identifier": "2697495",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018296150005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clear Med Specialty Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Clear Care Corporation
• Clear Med Provider Corporation
• Clear Med Provider Corporation
• Clear Med Provider Corporation
• Clear Med Provider Corporation
• Clear Med Provider Corporation
• Clear Med Provider Corporation
• Clear Med Provider Corporation
• Clear Med Provider Corporation
• Clear Med Provider Corporation

• All providers in Clearfield, PA
• Health Service Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.