| Centerville Clinics, Inc. | |
|
130 California Rd Brownsville PA 15417-9312 | |
| (724) 938-3554 | |
| Not Available |
| Full Name | Centerville Clinics, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 130 California Rd, Brownsville, Pennsylvania |
| Authorized Official Name and Position | Patricia Martos (DIRECTOR FINANCE PERSONNEL) |
| 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 Fredericktown PA 15333-2114 Ph: (724) 632-6801 | Centerville Clinics, Inc. 130 California Rd Brownsville PA 15417-9312 Ph: (724) 938-3554 |
| NPI Number | 1124191671 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 07/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124191671 | NPI | - | NPPES |
| 391972 | Other | PA | NATIONAL GOVERNMENT SERVICES |
| 1007288440096 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 391972 (Pennsylvania) | Primary |
Centerville Clinics, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 California Rd, Brownsville, PA 15417 Phone: 724-938-3554 | |
Prakorb Medical Associate Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 129 Simpson Rd, Brownsville, PA 15417 Phone: 724-785-9696 Fax: 724-785-7225 |