| Centerville Clinics Inc | |
|
Trinity West Elementary School 1041 Gabby Ave Washington PA 15301-5913 | |
| (724) 222-4730 | |
| Not Available |
| Full Name | Centerville Clinics Inc |
|---|---|
| Speciality | Social Worker - School |
| Location | Trinity West Elementary School, Washington, Pennsylvania |
| Authorized Official Name and Position | Barry 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 1070 Old National Pike Centerville Clinics Inc Fredericktown PA 15333-2114 Ph: (724) 632-6801 | Centerville Clinics Inc Trinity West Elementary School 1041 Gabby Ave Washington PA 15301-5913 Ph: (724) 222-4730 |
| NPI Number | 1225536444 |
|---|---|
| Provider Enumeration Date | 01/23/2018 |
| Last Update Date | 08/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225536444 | NPI | - | NPPES |
| 1007288440027 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041S0200X | Social Worker - School | (Pennsylvania) | Primary |
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