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 only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as 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:
Website:
Map and Directions
Authorized official contact:
Name: Martos, Patricia
Phone: (724) 632-6801

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PP418334L Pennsylvania

Profile Details

NPI number 1619052578
LBN Legal business name Centerville Clinics, Inc.
DBA Doing business as
Authorized official Martos, Patricia
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2006
Last updated Nov 12th, 2015 - about 10 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 1619052578 NPPES
Pennsylvania MEDICAID 1007288440011
Pennsylvania Other 3940512

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