Centerville Clinics Inc

LBN: Centerville Clinics Inc
Centerville Clinics Inc is an health care organization with primary practice located at 201 Allison Ave Washington High School, Washington PA 15301. 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) 223-5085, or through Niccolai, Barry via phone (724) 632-6801.

Contact Information

Primary practice address
201 Allison Ave Washington High School Washington PA 15301
Phone: (724) 223-5085
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Niccolai, Barry
Phone: (724) 632-6801

Health care specialties

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

Profile Details

NPI number 1609374701
LBN Legal business name Centerville Clinics Inc
DBA Doing business as
Authorized official Niccolai, Barry
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2018
Last updated Jan 24th, 2018 - 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 1609374701 NPPES
Pennsylvania MEDICAID 1007288440027

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