| Centerville Clinics, Inc. | |
|
100 Wilson Rd Bentleyville PA 15314-1028 | |
| (724) 239-2390 | |
| Not Available |
| Full Name | Centerville Clinics, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 Wilson Rd, Bentleyville, 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. 100 Wilson Rd Bentleyville PA 15314-1028 Ph: (724) 239-2390 |
| NPI Number | 1851514251 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 07/16/2010 |
| Medicare PECOS PAC ID | 7214837202 |
|---|---|
| Medicare Enrollment ID | O20101008000206 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851514251 | NPI | - | NPPES |
| 1007288440030 | 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: 100 Wilson Rd, Bentleyville, PA 15314 Phone: 724-239-2390 | |
Southwest Medical Center-radiology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 Wilson Rd, Bentleyville, PA 15314 Phone: 724-239-4700 Fax: 724-239-3262 | |
Southwest Medical Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 119 Wilson Rd, Bentleyville, PA 15314 Phone: 724-239-4700 Fax: 724-239-3262 |