CENTERVILLE CLINICS, INC.; NPI #1639150105

Contact Information

CENTERVILLE CLINICS, INC.

1070 OLD NATIONAL PIKE
FREDERICKTOWN, PA 15333-2114

Phone: 724-632-6801
Fax: 724-632-6312
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Gynecology	207VG0400X	16	Physician/Obstetrics & Gynecology

Indicates primary specialty

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NPI Profile & details for CENTERVILLE CLINICS, INC.

NPI Number 1639150105

LBN Legal business name CENTERVILLE CLINICS, INC.

Authorized official PATRICIA MARTOS - (DIRECTOR, FINANCE/PERSONNEL)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/10/2005

Last updated 06/14/2010 - About 16 years ago

Identifiers

PA	Medicaid	1007288440027
PA	Other	031216	HGSA - MEDICARE
PA	Other	031216	HIGHMARK

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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CENTERVILLE CLINICS, INC.

Contact Information

Specialty

Gynecology

NPI Profile & details for CENTERVILLE CLINICS, INC.

Reviews for CENTERVILLE CLINICS, INC.