| Centerville Clinics, Inc. | |
|
1070 Old National Pike Fredericktown PA 15333-2114 | |
| (724) 632-6801 | |
| (724) 632-6312 |
| Full Name | Centerville Clinics, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1070 Old National Pike, Fredericktown, Pennsylvania |
| Authorized Official Name and Position | Patty Martos (DIRECTOR FINANCE PERSONNEL) |
| 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. 1070 Old National Pike Fredericktown PA 15333-2114 Ph: (724) 632-6801 |
| NPI Number | 1437272697 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 07/19/2010 |
| Medicare PECOS PAC ID | 7214837202 |
|---|---|
| Medicare Enrollment ID | O20101008000263 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437272697 | NPI | - | NPPES |
| 1007288440027 | 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: 1070 Old National Pike, Fredericktown, PA 15333 Phone: 724-632-6801 Fax: 724-632-6312 | |
Centerville Clinics, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1070 Old National Pike, Fredericktown, PA 15333 Phone: 724-632-6801 Fax: 724-632-6312 |