| Centerville Clinics, Inc. | |
|
37 Highland Ave Washington PA 15301-4062 | |
| (724) 223-1067 | |
| (724) 223-1088 |
| Full Name | Centerville Clinics, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 37 Highland Ave, Washington, 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. 37 Highland Ave Washington PA 15301-4062 Ph: (724) 223-1067 |
| NPI Number | 1730300971 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 04/12/2011 |
| Medicare PECOS PAC ID | 7214837202 |
|---|---|
| Medicare Enrollment ID | O20101006000372 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730300971 | NPI | - | NPPES |
| 1007288440035 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Pennsylvania) | Primary |
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