| Centerville Clinics, Inc. | |
|
200 Chamber Plz Charleroi PA 15022-1605 | |
| (724) 483-5482 | |
| (724) 483-5856 |
| Full Name | Centerville Clinics, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 200 Chamber Plz, Charleroi, 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. 200 Chamber Plz Charleroi PA 15022-1605 Ph: (724) 483-5482 |
| NPI Number | 1073734281 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 04/24/2012 |
| Medicare PECOS PAC ID | 7214837202 |
|---|---|
| Medicare Enrollment ID | O20040113000762 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073734281 | NPI | - | NPPES |
| 1007288440087 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Pennsylvania) | Primary |
Ppcp Derienzo Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17 Arentzen Blvd Ste 101, Charleroi, PA 15022 Phone: 724-483-3581 Fax: 724-483-3483 | |
Derienzo Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17 Arentzen Blvd, Charleroi, PA 15022 Phone: 724-483-3581 Fax: 724-483-3483 | |
Derienzo Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17 Arentzen Blvd, Suite 101, Charleroi, PA 15022 Phone: 724-483-3581 Fax: 724-483-3483 | |
Mukesh V Shah, Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1200 Mckean Ave, Suite 104, Charleroi, PA 15022 Phone: 724-489-0523 |