| Centerville Clinics Inc | |
|
Bentworth Middle School 563 Lincoln Avenue Bentleyville PA 15314 | |
| (724) 239-4431 | |
| (724) 239-5889 |
| Full Name | Centerville Clinics Inc |
|---|---|
| Speciality | Social Worker |
| Location | Bentworth Middle School, Bentleyville, Pennsylvania |
| Authorized Official Name and Position | Barry Niccolai (EXECUTIVE DIRECTOR) |
| 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 Centerville Clinics Inc 1070 Old National Pike Road Fredericktown PA 15333-2114 Ph: (724) 632-6801 | Centerville Clinics Inc Bentworth Middle School 563 Lincoln Avenue Bentleyville PA 15314 Ph: (724) 239-4431 |
| NPI Number | 1033695077 |
|---|---|
| Provider Enumeration Date | 07/12/2018 |
| Last Update Date | 07/12/2018 |
| Medicare PECOS PAC ID | 7214837202 |
|---|---|
| Medicare Enrollment ID | O20210610002359 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033695077 | NPI | - | NPPES |
| 1007288440027 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041S0200X | Social Worker - School | (Pennsylvania) | Primary |
Centerville Clinics, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 75 Bearcat Dr, Bentleyville, PA 15314 Phone: 724-632-6801 | |
Centerville Clinics Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: Bentworth Elementary School, 150 Bearcat Drive, Bentleyville, PA 15314 Phone: 724-239-3606 Fax: 724-239-3205 |