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 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Centerville Clinics Inc can be contacted via phone (724) 564-0900, or through Martos, Patricia 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:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X |
Profile Details
| NPI number | 1710969019 |
|---|---|
| LBN Legal business name | Centerville Clinics Inc |
| DBA Doing business as | |
| Authorized official | Martos, Patricia |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 14th, 2005 |
| Last updated | Aug 22nd, 2020 - about 4 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 | 1710969019 | NPPES |
| Pennsylvania | MEDICAID | 1007288440031 |
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