| Centerville Clinics, Inc. | |
|
601 South Arch Street Connellsville PA 15425 | |
| (724) 626-2630 | |
| (724) 626-2655 |
| Full Name | Centerville Clinics, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 601 South Arch Street, Connellsville, Pennsylvania |
| Authorized Official Name and Position | Barry R Niccolai (EXECUTIVE DIRECTOR) |
| 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. 601 South Arch Street Connellsville PA 15425 Ph: (724) 626-2630 |
| NPI Number | 1790808962 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 12/02/2020 |
| Medicare PECOS PAC ID | 7214837202 |
|---|---|
| Medicare Enrollment ID | O20090930000546 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790808962 | NPI | - | NPPES |
| 1007288440037 | Medicaid | PA | |
| 391911 | Other | PA | NATIONAL GOVERNMENT SERVICES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Pennsylvania) | Primary |
Penn Highlands Connellsville Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 401 E Murphy Ave, Connellsville, PA 15425 Phone: 724-628-1500 Fax: 724-626-2217 | |
Internal Medicine Associates Of Connellsville Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 261 E Crawford Ave, Connellsville, PA 15425 Phone: 724-628-4600 | |
James Miller Oppy Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 N Pittsburgh St, Suite 3a, Connellsville, PA 15425 Phone: 724-628-4450 Fax: 724-626-2580 | |
Excela Health Connellsville Internal Med-dr. Tiberio Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 171 W Crawford Ave, Connellsville, PA 15425 Phone: 724-628-5800 Fax: 724-628-1419 | |
Albert K Enany Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 S Arch St, Connellsville, PA 15425 Phone: 724-628-3500 Fax: 724-628-9009 | |
Tiffany M Lawrence Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2025 Revere Dr, Connellsville, PA 15425 Phone: 724-887-5640 | |
Excela Health Physician Practices, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2618 Memorial Blvd Ste B-1, Connellsville, PA 15425 Phone: 724-628-3944 |