Provider Demographics
NPI:1679563084
Name:TRANSITIONAL CARE CENTER AT CLARION HOSPITAL
Entity Type:Organization
Organization Name:TRANSITIONAL CARE CENTER AT CLARION HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TCC ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MISSY
Authorized Official - Middle Name:
Authorized Official - Last Name:POLITO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-226-3420
Mailing Address - Street 1:1 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:CLARION
Mailing Address - State:PA
Mailing Address - Zip Code:16214-8501
Mailing Address - Country:US
Mailing Address - Phone:814-226-9500
Mailing Address - Fax:814-226-1457
Practice Address - Street 1:1 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:CLARION
Practice Address - State:PA
Practice Address - Zip Code:16214-8501
Practice Address - Country:US
Practice Address - Phone:814-226-9500
Practice Address - Fax:814-226-1457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA297802314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1118OtherHIGHMARK BLUE CROSS
PA1118OtherHIGHMARK BLUE CROSS