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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
1174400000XSpecialistOC003396LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619159415
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLEAR CARE CORPORATION
Provider Business Mailing Address
First Line : 1229 S 2ND ST
Second Line : PO BOX 1411
City : CLEARFIELD
State : PA
Zip : 16830-3305
Country : US
Telephone Number : 814-765-0221
Fax Number : 814-765-3011
Provider Business Practice Location Address
First Line : 1229 S 2ND ST
Second Line :
City : CLEARFIELD
State : PA
Zip : 16830-3305
Country : US
Telephone Number : 814-765-0221
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : KATHY L RIDGWAY
Credential :
Telephone Number : 814-765-0221
Provider Enumeration Date : 12/04/2007
Last Update Date : 03/30/2012

Similar Medicare Providers

1205830148 — CLEAR-CARE CORPORATION
Practice Location Address:
1225 S 2ND ST
CLEARFIELD, PA
16830-3305
Practice Phone: 814-765-0221
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1043235856 — MRS. COURTNEY L MIKESELL COTA
Practice Location Address:
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1669497475 — MS. KYLIE D YANOCK OTR/L
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CLEARFIELD, PA
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1952320202 — MRS. PAMELA W BUTLER OTR
Practice Location Address:
1229 S 2ND ST
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Practice Fax: 814-765-3011

Directions to “CLEAR CARE CORPORATION ” Practice Location

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