Centerville Clinics Inc

LBN: Centerville Clinics Inc
Centerville Clinics Inc is an health care organization with primary practice located at Bower Hill Elementary School 424 Bower Hill Road, Venetia PA 15367. The organization recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as the primary health care specialty. Centerville Clinics Inc can be contacted via phone (724) 941-0913, or through Niccolai, Barry R via phone (724) 632-6801.

Contact Information

Primary practice address
Bower Hill Elementary School 424 Bower Hill Road Venetia PA 15367
Phone: (724) 941-0913
Fax: (724) 941-0918
Website:
Map and Directions
Authorized official contact:
Name: Niccolai, Barry R
Phone: (724) 632-6801

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X

Profile Details

NPI number 1306309927
LBN Legal business name Centerville Clinics Inc
DBA Doing business as
Authorized official Niccolai, Barry R
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2019
Last updated Apr 10th, 2019 - about 5 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 1306309927 NPPES
Pennsylvania MEDICAID 1007288440027

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