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 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist, Technologists, Technicians & Other Technical Service Providers / Mammography. Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist 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
Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist 247100000X 1501927 Pennsylvania
Technologists, Technicians & Other Technical Service Providers / Mammography 2471M2300X 105916 Pennsylvania

Profile Details

NPI number 1568566867
LBN Legal business name Centerville Clinics, Inc.
DBA Doing business as
Authorized official Martos, Patricia
Entity Organization
Organization subpart 1 No
Enumeration date Sep 8th, 2006
Last updated Jun 17th, 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 1568566867 NPPES
Pennsylvania Other 2157508 HIGHMARK BLUE SHIELD

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