| Centerville Clinics, Inc. | |
|
1070 Old National Pike Fredericktown PA 15333-2114 | |
| (724) 632-6801 | |
| (724) 632-6312 |
| Full Name | Centerville Clinics, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1070 Old National Pike, Fredericktown, Pennsylvania |
| Authorized Official Name and Position | Patricia Martos (DIRECTOR OF FIINANCE/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: (725) 632-6801 | Centerville Clinics, Inc. 1070 Old National Pike Fredericktown PA 15333-2114 Ph: (724) 632-6801 |
| NPI Number | 1568443034 |
|---|---|
| Provider Enumeration Date | 11/10/2005 |
| Last Update Date | 04/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568443034 | NPI | - | NPPES |
| 1007288440027 | Medicaid | PA | |
| 026902 | Other | PA | HGSA - MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Centerville Clinics, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1070 Old National Pike, Fredericktown, PA 15333 Phone: 724-632-6801 Fax: 724-632-6312 | |
Centerville Clinics, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1070 Old National Pike, Fredericktown, PA 15333 Phone: 724-632-6801 Fax: 724-632-6312 |