Clear Med Provider Corporation

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

CLEAR MED PROVIDER CORPORATION

Practice address

1049 N Front St
Philipsburg, PA 16866-8258

Phone

(814) 342-2740

Fax

(814) 342-3202

NPI assigned

Apr 13, 2009

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 5

Addresses

Other identifiers 1

Other names 1

• Moshannon Valley Orthopedics Other name

Part of

Clearfield Hospital Eme

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1811130446",
    "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": "1049 N FRONT ST",
            "city": "PHILIPSBURG",
            "state": "PA",
            "postal_code": "168668258",
            "telephone_number": "814-342-2740",
            "fax_number": "814-342-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR MED PROVIDER CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLEARFIELD HOSPITAL",
        "enumeration_date": "2009-04-13",
        "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": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "OS007228L",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD038573E",
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA002720",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA054972",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BCBS ASSIGNMENT ACCOUNT",
            "identifier": "2158617",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moshannon Valley Orthopedics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Centre Footcare
• Melissa A Chimenti, LCSW
• Kenneth Allan Chintella, DDS
• Marlee Jo Chutko, COTA/L
• Clear Med Provider Corporation
• Clear Med Provider Corporation
• Clinical Care Liaisons, Inc.
• Kelly Leigh Conner, LPC
• Roberta Lynn Connor, OTR
• Tiffany Cragan, CRNP

• Health Service Clinic/Center in Philipsburg, PA
• Providers in Philipsburg, 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.