Healthcare Provider Details
I. General information
NPI: 1265422901
Provider Name (Legal Business Name): CLARION HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/25/2005
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1 HOSPITAL DR
CLARION PA
16214-8501
US
IV. Provider business mailing address
PO BOX 645550
PITTSBURGH PA
15264-5253
US
V. Phone/Fax
- Phone: 814-226-9500
- Fax: 814-226-1457
- Phone: 814-226-9500
- Fax: 814-226-1457
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | 297801 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 282N00000X |
| Taxonomy | General Acute Care Hospital |
| License Number | 297801 |
| License Number State | PA |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
| # 1 | |
| Identifier | 0117 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | BLUE CROSS |
| # 2 | |
| Identifier | 1002337670005 |
| Identifier Type | MEDICAID |
| Identifier State | PA |
| Identifier Issuer | |
| # 3 | |
| Identifier | 1002337670035 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MEDICAID CIM CLINIC |
| # 4 | |
| Identifier | 60842 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | THREE RIVERS HEALTH PLAN |
| # 5 | |
| Identifier | H084 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | UPMC FOR YOU |
| # 6 | |
| Identifier | 0526197 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | CIGNA |
| # 7 | |
| Identifier | 1002337670036 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MEDICAID CLU CLINIC |
| # 8 | |
| Identifier | 1002337670037 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MEDICAID CMF CLINIC |
| # 9 | |
| Identifier | 1019795 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | GATEWAY HEALTH PLAN |
| # 10 | |
| Identifier | 6491570 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | AETNA US HEALTHCARE |
| # 11 | |
| Identifier | 032073000 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | FEDERAL BLACK LUNG |
VIII. Authorized Official
Name:
SCOTT
MADDEN
Title or Position: COO PHYSICIAN NETWORK
Credential:
Phone: 412-596-7323
