Healthcare Provider Details

I. General information

NPI: 1205830148
Provider Name (Legal Business Name): CLEAR-CARE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2005
Last Update Date: 03/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 S 2ND ST
CLEARFIELD PA
16830-3305
US

IV. Provider business mailing address

PO BOX 1411
CLEARFIELD PA
16830-5411
US

V. Phone/Fax

Practice location:
  • Phone: 814-765-0221
  • Fax: 814-765-3590
Mailing address:
  • Phone: 814-765-0221
  • Fax: 814-765-3590

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: KATHY L RIDGWAY
Title or Position: PRESIDENT
Credential:
Phone: 814-765-0221