Centerville Clinics, Inc.

LBN: Centerville Clinics, Inc.
Centerville Clinics, Inc. is an health care organization with primary practice located at 601 South Arch Street , Connellsville PA 15425. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Centerville Clinics, Inc. can be contacted via phone (724) 626-2630, or through Niccolai, Barry R via phone (724) 632-6801.

Contact Information

Primary practice address
601 South Arch Street Connellsville PA 15425
Phone: (724) 626-2630
Fax: (724) 626-2655
Website:
Map and Directions
Authorized official contact:
Name: Niccolai, Barry R
Phone: (724) 632-6801

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X Pennsylvania

Profile Details

NPI number 1790808962
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, 2007
Last updated Dec 2nd, 2020 - 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 1790808962 NPPES
Pennsylvania MEDICAID 1007288440037
Pennsylvania Other 391911

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