Active NPI
Clear Med Provider Corporation
- Health Service Clinic/Center
- Philipsburg, PA
National Provider Identifier
1891953204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- CLEAR MED PROVIDER CORPORATION
- Practice address
- 1049 N Front St
Philipsburg, PA 16866-8258 - Phone
- (814) 342-9186
- Fax
- (814) 342-6684
- NPI assigned
- Jun 2, 2008
- Organization subpart
- Yes
- Parent organization
- CLEARFIELD HOSPITAL
NPPES NPI Registry
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD014352E | PA | |
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
1049 N Front St
Philipsburg, PA 16866-8258
Mailing address
809 Turnpike Ave
Clearfield, PA 16830-1232
Phone (814) 768-2356
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2158625 | Other | PA | HIGHMARK BCBS ASSIGNMENT ACCOUNT |
Other names 1
- Moshannon Valley Surgery Clinic
National Provider Directory
National Provider Directory- Part of
- Clearfield Hospital Eme
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1280707200000",
"number": "1891953204",
"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": "814-342-9186",
"fax_number": "814-342-6684"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEAR MED PROVIDER CORPORATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CLEARFIELD HOSPITAL",
"enumeration_date": "2008-06-02",
"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": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": "PA",
"license": "MD014352E",
"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 BCBS ASSIGNMENT ACCOUNT",
"identifier": "2158625",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Moshannon Valley Surgery Clinic",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Philipsburg, 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.