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1205830148

NPI Code Detail

MEDICARE: CLEAR-CARE CORPORATION

MEDICARE: CLEAR-CARE CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1476763	OTHER	PA	UMWA PROVIDER #
2	040794100	OTHER	PA	BLACK LUNG
3	60552	OTHER	PA	HEALTHAMERICA PROVIDER #
4	211456	OTHER	PA	UPMC HEALTH PLAN PROVIDER
5	P034592	OTHER	PA	TRICARE PROVIDER #
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	1567870	OTHER	PA	BLUE CROSS PROVIDER #

General Provider Information

NPI Number	:	1205830148
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLEAR-CARE CORPORATION

Provider Business Mailing Address
First Line	:	PO BOX 1411
Second Line	:
City	:	CLEARFIELD
State	:	PA
Zip	:	16830-5411
Country	:	US
Telephone Number	:	814-765-0221
Fax Number	:	814-765-3590

Provider Business Practice Location Address
First Line	:	1225 S 2ND ST
Second Line	:
City	:	CLEARFIELD
State	:	PA
Zip	:	16830-3305
Country	:	US
Telephone Number	:	814-765-0221
Fax Number	:	814-765-3590

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KATHY L RIDGWAY
Credential	:
Telephone Number	:	814-765-0221

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	03/30/2012

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1619159415 — CLEAR CARE CORPORATION
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Directions to “CLEAR-CARE CORPORATION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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