Healthcare Provider Details

I. General information

NPI: 1114946282
Provider Name (Legal Business Name): CLEARFIELD HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 05/12/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

809 TURNPIKE AVE
CLEARFIELD PA
16830-1232
US

IV. Provider business mailing address

809 TURNPIKE AVE
CLEARFIELD PA
16830-1232
US

V. Phone/Fax

Practice location:
  • Phone: 814-768-2265
  • Fax: 814-768-2367
Mailing address:
  • Phone: 814-768-2265
  • Fax: 814-768-2367

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License NumberHP418040L
License Number StatePA

VIII. Authorized Official

Name: MICHELLE BENNETT
Title or Position: DIRECTOR
Credential: RPH
Phone: 814-768-2265