| Centerville Clinics Inc | |
|
93 N Morgantown St Fairchance PA 15436-1039 | |
| (724) 564-0900 | |
| (724) 564-9835 |
| Full Name | Centerville Clinics Inc |
|---|---|
| Speciality | Nurse Practitioner - Family |
| Location | 93 N Morgantown St, Fairchance, Pennsylvania |
| Authorized Official Name and Position | Patricia Martos (DIRECTOR OF 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 93 N Morgantown St Fairchance PA 15436-1039 Ph: (724) 564-0900 |
| NPI Number | 1710969019 |
|---|---|
| Provider Enumeration Date | 11/14/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710969019 | NPI | - | NPPES |
| 1007288440031 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
Centerville Clinics, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 93 N Morgantown St, Fairchance, PA 15436 Phone: 724-564-0900 Fax: 724-564-9835 |