Centerville Clinics Inc

LBN: Centerville Clinics Inc
Centerville Clinics Inc is an health care organization with primary practice located at Centerville Clinics-Donora Family Medicine 718 Mckean Avenue, Donora PA 15033-1061. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Centerville Clinics Inc can be contacted via phone (724) 379-4401, or through Niccolai, Barry R via phone (724) 632-6801.

Contact Information

Primary practice address
Centerville Clinics-Donora Family Medicine 718 Mckean Avenue Donora PA 15033-1061
Phone: (724) 379-4401
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Niccolai, Barry R
Phone: (724) 632-6801

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1164064002
LBN Legal business name Centerville Clinics Inc
DBA Doing business as
Authorized official Niccolai, Barry R
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2019
Last updated Oct 11th, 2019 - about 6 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 1164064002 NPPES
Pennsylvania MEDICAID 1007288440027

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