Centerville Clinics Inc

LBN: Centerville Clinics Inc
Centerville Clinics Inc is an health care organization with primary practice located at California Middle School 40 Trojan Way, Coal Center PA 15423-1059. The organization recently has only one registered license in Other Service Providers / Specialist, 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 Middle School 40 Trojan Way Coal Center PA 15423-1059
Phone: (724) 785-5800
Fax: (724) 785-8860
Website:
Map and Directions
Authorized official contact:
Name: Niccolai, Barry R
Phone: (724) 632-6801

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1043498280
LBN Legal business name Centerville Clinics Inc
DBA Doing business as
Authorized official Niccolai, Barry R
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2008
Last updated Oct 18th, 2018 - about 8 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 1043498280 NPPES
Pennsylvania MEDICAID APPLYING
Pennsylvania Other 328864A859674

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