Centerville Clinics, Inc.

LBN: Centerville Clinics, Inc.
Centerville Clinics, Inc. is an health care organization with primary practice located at 93 N Morgantown St , Fairchance PA 15436-1039. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Centerville Clinics, Inc. can be contacted via phone (724) 564-0900, or through Martos, Patty via phone (724) 632-6801.

Contact Information

Primary practice address
93 N Morgantown St Fairchance PA 15436-1039
Phone: (724) 564-0900
Fax: (724) 564-9835
Website:
Map and Directions
Authorized official contact:
Name: Martos, Patty
Phone: (724) 632-6801

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X Pennsylvania

Profile Details

NPI number 1003037201
LBN Legal business name Centerville Clinics, Inc.
DBA Doing business as
Authorized official Martos, Patty
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2007
Last updated Oct 28th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003037201 NPPES
Pennsylvania MEDICAID 1007288440031

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