Healthcare Provider Details

I. General information

NPI: 1932389871
Provider Name (Legal Business Name): DOCTORS OF CLARION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2007
Last Update Date: 12/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 WOOD ST
CLARION PA
16214-1336
US

IV. Provider business mailing address

420 WOOD ST
CLARION PA
16214-1336
US

V. Phone/Fax

Practice location:
  • Phone: 814-226-7722
  • Fax: 814-227-2390
Mailing address:
  • Phone: 814-226-7722
  • Fax: 814-227-2390

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License NumberOS006389E
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier0011328370003
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer

VIII. Authorized Official

Name: DR. CYNTHIA LEE HOFFMEIER
Title or Position: OWNER
Credential: D.O.
Phone: 814-226-7722