Centerville Clinics, Inc Connellsville Mh

LBN: Centerville Clinics, Inc Connellsville Mh
Centerville Clinics, Inc Connellsville Mh is an health care organization with primary practice located at 208 S Arch St , Connellsville PA 15425-3519. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Other Service Providers / Specialist is the primary health care specialty. Centerville Clinics, Inc Connellsville Mh can be contacted via phone (724) 626-2630, or through Martos, Patty via phone (724) 632-6801.

Contact Information

Primary practice address
208 S Arch St Connellsville PA 15425-3519
Phone: (724) 626-2630
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Martos, Patty
Phone: (724) 632-6801

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 391911 Pennsylvania

Profile Details

NPI number 1790951655
LBN Legal business name Centerville Clinics, Inc Connellsville Mh
DBA Doing business as
Authorized official Martos, Patty
Entity Organization
Organization subpart 1 No
Enumeration date May 1st, 2008
Last updated May 1st, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1790951655 NPPES
Pennsylvania Other 391911 NATIONAL GOVERNMENT SERVICES
Pennsylvania MEDICAID 1007288440037 NATIONAL GOVERNMENT SERVICES
Pennsylvania Other 328834A776089 NATIONAL GOVERNMENT SERVICES

Popular Providers