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 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Social Worker, Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is 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: (724) 632-6312
Website:
Map and Directions
Authorized official contact:
Name: Martos, Patricia
Phone: (724) 632-6801

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Other Service Providers / Specialist 174400000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1235110156
LBN Legal business name Centerville Clinics , Inc.
DBA Doing business as
Authorized official Martos, Patricia
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2005
Last updated Jun 11th, 2010 - 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 1235110156 NPPES
Pennsylvania Other 031218 HGSA - MEDICARE
Pennsylvania Other 031218 HGSA - MEDICARE
Pennsylvania Other 001804928 HGSA - MEDICARE
Pennsylvania Other 328834A336347 HGSA - MEDICARE
Pennsylvania MEDICAID 1007288440027 HGSA - MEDICARE

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