Centerville Clinics, Inc.
LBN: Centerville Clinics, Inc.
Centerville Clinics, Inc. is an health care organization with primary practice located at 1006 Main Street , Republic PA 15475. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Dental Hygienist, Dental Providers / Dental Assistant. Dental Providers / Dentist is the primary health care specialty.
Centerville Clinics, Inc. can be contacted via phone (724) 246-9434, or through Martos, Patricia via phone (724) 632-6801.
Contact Information
Primary practice address
1006 Main Street
Republic PA 15475
Phone: (724) 246-9434
Fax: (724) 246-9846
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | ||
Dental Providers / Dental Hygienist | 124Q00000X | ||
Dental Providers / Dental Assistant | 126800000X |
Profile Details
NPI number | 1932181047 |
---|---|
LBN Legal business name | Centerville Clinics, Inc. |
DBA Doing business as | |
Authorized official | Martos, Patricia |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Nov 15th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1932181047 | NPPES |
Pennsylvania | MEDICAID | 1007288440032 |
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