Provider Demographics
NPI:1568150977
Name:CLEARFIELD EDUCATION FOUNDATION-FURTURE
Entity Type:Organization
Organization Name:CLEARFIELD EDUCATION FOUNDATION-FURTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN ASSIST
Authorized Official - Prefix:
Authorized Official - First Name:BRANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-205-4077
Mailing Address - Street 1:PO BOX 209
Mailing Address - Street 2:
Mailing Address - City:CLEARFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:16830-0209
Mailing Address - Country:US
Mailing Address - Phone:814-205-4077
Mailing Address - Fax:814-205-4078
Practice Address - Street 1:8904 CLEARFIELD CURWENSVILLE HWY
Practice Address - Street 2:
Practice Address - City:CLEARFIELD
Practice Address - State:PA
Practice Address - Zip Code:16830-3520
Practice Address - Country:US
Practice Address - Phone:814-205-4077
Practice Address - Fax:814-205-4078
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CLEARFIELD EDUCATION FOUNDATION-FURTURE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-04-25
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health