| Centerville Clinics Avella Family Medicine | |
|
9 Campbell St Avella PA 15312-2151 | |
| (724) 632-6801 | |
| (724) 632-6312 |
| Full Name | Centerville Clinics Avella Family Medicine |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 9 Campbell St, Avella, Pennsylvania |
| Authorized Official Name and Position | Barry R Niccolai (CEO) |
| Authorized Official Contact | 7246326801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerville Clinics Avella Family Medicine 1070 Old National Pike Fredericktown PA 15333-2114 Ph: (724) 632-6801 | Centerville Clinics Avella Family Medicine 9 Campbell St Avella PA 15312-2151 Ph: (724) 632-6801 |
| NPI Number | 1336076819 |
|---|---|
| Provider Enumeration Date | 05/07/2026 |
| Last Update Date | 05/07/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336076819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Avella Family Practice,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 Campbell Dr, Box 187, Avella, PA 15312 Phone: 724-587-3472 Fax: 724-587-5947 |