Provider Demographics
NPI:1265422901
Name:CLARION HOSPITAL
Entity type:Organization
Organization Name:CLARION HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-226-9500
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:2005-10-25
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA297801261Q00000X, 282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0117OtherBLUE CROSS
PA1002337670005Medicaid
PA1002337670035OtherMEDICAID CIM CLINIC
PA60842OtherTHREE RIVERS HEALTH PLAN
PAH084OtherUPMC FOR YOU
PA0526197OtherCIGNA
PA1002337670036OtherMEDICAID CLU CLINIC
PA1002337670037OtherMEDICAID CMF CLINIC
PA1019795OtherGATEWAY HEALTH PLAN
PA6491570OtherAETNA US HEALTHCARE
PA032073000OtherFEDERAL BLACK LUNG
PA1002337670036OtherMEDICAID CLU CLINIC
PA1002337670036OtherMEDICAID CLU CLINIC