Centerville Clinics, Inc.

LBN: Centerville Clinics, Inc.
Centerville Clinics, Inc. is an health care organization with primary practice located at 1006 Main Street , Republic PA 15475. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Dental Hygienist, Dental Providers / Dental Assistant. Dental Providers / Dentist is the primary health care specialty. Centerville Clinics, Inc. can be contacted via phone (724) 246-9434, or through Martos, Patricia via phone (724) 632-6801.

Contact Information

Primary practice address
1006 Main Street Republic PA 15475
Phone: (724) 246-9434
Fax: (724) 246-9846
Website:
Map and Directions
Authorized official contact:
Name: Martos, Patricia
Phone: (724) 632-6801

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Dental Providers / Dental Hygienist 124Q00000X
Dental Providers / Dental Assistant 126800000X

Profile Details

NPI number 1932181047
LBN Legal business name Centerville Clinics, Inc.
DBA Doing business as
Authorized official Martos, Patricia
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2005
Last updated Apr 17th, 2008 - about 18 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 1932181047 NPPES
Pennsylvania MEDICAID 1007288440032

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