Centerville Clinics Inc.

LBN: Centerville Clinics Inc.
Centerville Clinics Inc. is an health care organization with primary practice located at 1070 Old National Pike , Fredericktown PA 15333-2114. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Centerville Clinics Inc. can be contacted via phone (724) 632-6801, or through Martos, Patricia via phone (724) 632-6801.

Contact Information

Primary practice address
1070 Old National Pike Fredericktown PA 15333-2114
Phone: (724) 632-6801
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Martos, Patricia
Phone: (724) 632-6801

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X

Profile Details

NPI number 1912988452
LBN Legal business name Centerville Clinics Inc.
DBA Doing business as
Authorized official Martos, Patricia
Entity Organization
Organization subpart 1 No
Enumeration date Nov 10th, 2005
Last updated Apr 17th, 2008 - about 16 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 1912988452 NPPES
Pennsylvania MEDICAID 1007288440027
Pennsylvania Other 031221

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