| Centerville Clinics, Inc. | |
|
93 N Morgantown St Fairchance PA 15436-1039 | |
| (724) 564-0900 | |
| (724) 564-9835 |
| Full Name | Centerville Clinics, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 93 N Morgantown St, Fairchance, Pennsylvania |
| Authorized Official Name and Position | Patty Martos (DIRECTOR FINANCE PERSONNEL) |
| 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. 93 N Morgantown St Fairchance PA 15436-1039 Ph: (724) 564-0900 |
| NPI Number | 1003037201 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 10/28/2009 |
| Medicare PECOS PAC ID | 7214837202 |
|---|---|
| Medicare Enrollment ID | O20090930000525 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003037201 | NPI | - | NPPES |
| 1007288440031 | 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: 93 N Morgantown St, Fairchance, PA 15436 Phone: 724-564-0900 Fax: 724-564-9835 |