Centerville Clinics Inc

LBN: Centerville Clinics Inc
Centerville Clinics Inc is an health care organization with primary practice located at California Elementary School 40 Trojan Way, Coal Center PA 15423-1059. 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) 785-5800, or through Niccolai, Barry R via phone (724) 632-6801.

Contact Information

Primary practice address
California Elementary School 40 Trojan Way Coal Center PA 15423-1059
Phone: (724) 785-5800
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Niccolai, Barry R
Phone: (724) 632-6801

Health care specialties

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

Profile Details

NPI number 1952887044
LBN Legal business name Centerville Clinics Inc
DBA Doing business as
Authorized official Niccolai, Barry R
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2018
Last updated Oct 17th, 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 1952887044 NPPES
Pennsylvania MEDICAID 1007288440027

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