| Centerville Clinics, Inc | |
|
1070 Old National Pike, Fredericktown, PA 15333-2114 | |
| (724) 632-6801 | |
| (724) 632-6312 |
| Full Name | Centerville Clinics, Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1070 Old National Pike, Fredericktown, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093796344 | NPI | - | NPPES |
| 1007288440027 | Medicaid | PA | |
| 903283 | Other | PA | HIGHMARK |
| 903283 | Other | PA | HGSA - MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Centerville Clinics, Inc 1070 Old National Pike, Fredericktown, PA 15333-2114 Ph: (724) 632-6801 | Centerville Clinics, Inc 1070 Old National Pike, Fredericktown, PA 15333-2114 Ph: (724) 632-6801 |
Mr. Gary John Shuttleworth, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1070 Old National Pike, Fredericktown, PA 15333 Phone: 724-632-6801 | |
Dr. Scott Robert Hargraves, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 205 Ridgewood Dr, Fredericktown, PA 15333 Phone: 724-377-1933 |