| Centerville Clinics, Inc. | |
|
601 W George St Carmichaels PA 15320-1325 | |
| (724) 966-5081 | |
| (724) 632-6312 |
| Full Name | Centerville Clinics, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 601 W George St, Carmichaels, 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. 601 W George St Carmichaels PA 15320-1325 Ph: (724) 966-5081 |
| NPI Number | 1902929185 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 07/16/2010 |
| Medicare PECOS PAC ID | 7214837202 |
|---|---|
| Medicare Enrollment ID | O20101006000215 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902929185 | NPI | - | NPPES |
| 1007288440028 | 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: 601 W George St, Carmichaels, PA 15320 Phone: 724-966-5081 |