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 Allopathic & Osteopathic Physicians / Gynecology, 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: (724) 632-6312
Website:
Map and Directions
Authorized official contact:
Name: Martos, Patricia
Phone: (724) 632-6801

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X

Profile Details

NPI number 1639150105
LBN Legal business name Centerville Clinics, Inc.
DBA Doing business as
Authorized official Martos, Patricia
Entity Organization
Organization subpart 1 No
Enumeration date Nov 10th, 2005
Last updated Jun 14th, 2010 - about 15 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 1639150105 NPPES
Pennsylvania Other 031216 HGSA - MEDICARE
Pennsylvania Other 031216 HGSA - MEDICARE
Pennsylvania MEDICAID 1007288440027 HGSA - MEDICARE

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