| Centerville Clinics Inc | |
|
California Elementary School 40 Trojan Way Coal Center PA 15423-1059 | |
| (724) 785-5800 | |
| Not Available |
| Full Name | Centerville Clinics Inc |
|---|---|
| Speciality | Social Worker - School |
| Location | California Elementary School, Coal Center, Pennsylvania |
| Authorized Official Name and Position | Barry R Niccolai (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7246326801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| 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 California Elementary School 40 Trojan Way Coal Center PA 15423-1059 Ph: (724) 785-5800 |
| NPI Number | 1952887044 |
|---|---|
| Provider Enumeration Date | 07/12/2018 |
| Last Update Date | 10/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952887044 | 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: California High School, 11 Trojan Way, Coal Center, PA 15423 Phone: 724-785-5800 |