NPI Portal NPI Lookup & Verification

Clearfield-Jefferson Mhmr Program

Clearfield-Jefferson Mhmr Program is a healthcare organization registered as Case Management Agency in Brockway, PA, holding Type 2 (organization) NPI 1053476879 since 2006. The authorized official on file is Colette Dushac, Administrator.

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NPI 1053476879
Entity type Organization (Type 2)
Legal business name Clearfield-Jefferson Mhmr Program
Practice address 1200 WOOD ST STE U110, Brockway, PA, 15824
Phone 8142651060
Fax 8142651049
Enumeration date 2006-12-22
Last updated in NPPES 2020-08-22

Authorized official

Name Colette Dushac
Title Administrator
Phone 8142651060

Taxonomy & classification

Taxonomy code Specialty Primary License State
251B00000X Case Management Agency Primary

Other identifiers

Identifier Type State Issuer
1007332450006 Medicaid PA
Copy-ready billing details
Provider: Clearfield-Jefferson Mhmr Program
NPI: 1053476879
Taxonomy: 251B00000X (Case Management Agency)
Address: 1200 WOOD ST STE U110, Brockway, PA, 15824

Providers at this address

NPI Name Type Specialty Location
1497819031 Clearfield-Jefferson Mhmr Program Organization Case Management Agency Brockway, PA
1407911225 Clearfield-Jefferson Mhmr Program Organization Case Management Agency Brockway, PA
1417012238 Clearfield-Jefferson Mhmr Program Organization Case Management Agency Brockway, PA

Verify this record

Cross-check NPI 1053476879 against the authoritative CMS record: view Clearfield-Jefferson Mhmr Program on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Who is the authorized official for Clearfield-Jefferson Mhmr Program?
NPPES lists Colette Dushac (Administrator) as the authorized official for this organization.
What is the NPI number for Clearfield-Jefferson Mhmr Program?
The NPI for Clearfield-Jefferson Mhmr Program is 1053476879, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.