Centerville Clinics Inc
LBN: Centerville Clinics Inc
Centerville Clinics Inc is an health care organization with primary practice located at Centerville Clinics - City Mission Site 84 W Wheeling Street, Washington PA 15301-6918. 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) 222-8530, or through Niccolai, Barry R via phone (724) 632-6801.
Contact Information
Primary practice address
Centerville Clinics - City Mission Site 84 W Wheeling Street
Washington PA 15301-6918
Phone: (724) 222-8530
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1598314908 |
|---|---|
| LBN Legal business name | Centerville Clinics Inc |
| DBA Doing business as | |
| Authorized official | Niccolai, Barry R |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 9th, 2019 |
| Last updated | Sep 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598314908 | NPPES |
| Pennsylvania | MEDICAID | 1007288440027 |
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