| Centerville Clinics, Inc. | |
|
1152 Wood St California PA 15419-1260 | |
| (724) 938-2122 | |
| Not Available |
| Full Name | Centerville Clinics, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1152 Wood St, California, Pennsylvania |
| Authorized Official Name and Position | Patty Martos (DIRECTOR PERSONNEL FINANCE) |
| Authorized Official Contact | 7246326801 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerville Clinics, Inc. 1070 Old National Pike Fredericktown PA 15333-2114 Ph: (724) 632-6801 | Centerville Clinics, Inc. 1152 Wood St California PA 15419-1260 Ph: (724) 938-2122 |
| NPI Number | 1649491887 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 07/16/2010 |
| Medicare PECOS PAC ID | 7214837202 |
|---|---|
| Medicare Enrollment ID | O20101008000253 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649491887 | NPI | - | NPPES |
| 1007288440095 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Pennsylvania) | Primary |
Centerville Clinics, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1152 Wood St, California, PA 15419 Phone: 724-938-2122 | |
Mon Vale Orthopedic Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 371 Skyline Dr, California, PA 15419 Phone: 724-648-3862 Fax: 724-938-3039 | |
California University Of Pennsylvania Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 University Ave, California, PA 15419 Phone: 724-938-5922 Fax: 724-938-4509 |