NPIMap

Organization Active NPI

Clear Med Provider Corporation

  • Health Service Clinic/Center
  • Curwensville, PA
National Provider Identifier
1508024282
Registry record updated Aug 2, 2010
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
617 State St
Curwensville, PA 16833-1111
Phone
(814) 236-7510
Fax
(814) 236-4679
NPI assigned
May 29, 2008
Organization subpart
Yes
Parent organization
CLEARFIELD HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 2, 2010

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

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X MD047546L PA
Health Service Clinic/Center 261QH0100X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X UP006359B PA

Addresses

Primary practice location

617 State St
Curwensville, PA 16833-1111

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
0166056OtherPAHIGHMARK BCBS ASSIGNMENT ACCOUNT

Other names 1

  • Curwensville Family Practice 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 Eme

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": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280707200000",
    "number": "1508024282",
    "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": "617 STATE ST",
            "city": "CURWENSVILLE",
            "state": "PA",
            "postal_code": "168331111",
            "telephone_number": "814-236-7510",
            "fax_number": "814-236-4679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR MED PROVIDER CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLEARFIELD HOSPITAL",
        "enumeration_date": "2008-05-29",
        "last_updated": "2010-08-02",
        "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": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD047546L",
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "UP006359B",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BCBS ASSIGNMENT ACCOUNT",
            "identifier": "0166056",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Curwensville Family Practice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Curwensville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; 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.