CENTERVILLE CLINICS INC. NPI 1649491887

NPI Information

NPI: 1649491887
Provider Name: CENTERVILLE CLINICS, INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1152 WOOD ST
CALIFORNIA, PA
ZIP 15419
Phone: (724) 938-2122
Get Directions

CENTERVILLE CLINICS, INC. is a federally qualified health center (fqhc) clinic center in California, PA. CENTERVILLE CLINICS, INC. NPI is 1649491887. The provider is registered as an organization entity type.

The provider's business location address is:

1152 WOOD ST
CALIFORNIA, PA
ZIP 15419-260
Phone: (724) 938-2122

The provider's authorized official is Patty Martos .
The authorized official title is Director Personnel Finance and has the following contact phone number (724) 632-6801.

The enumeration date for this NPI number is 5/2/2007 and was last updated on 7/16/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)		PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1007288440095	MEDICAID	PENNSYLVANIA
2	391809	MEDICARE OSCAR/CERTIFICATION	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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