National Provider Identifier Database

CENTERVILLE CLINICS INC
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

CENTERVILLE CLINICS, INC.
1006 MAIN STREET,
REPUBLIC, PA15475
Phone: 724-246-9434
Fax: 724-246-9846
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for CENTERVILLE CLINICS, INC.

NPI Number 1043430267
Legal business name
LBN
CENTERVILLE CLINICS, INC.
Authorized official PATTY MARTOS - (DIRECTOR PERSONEL FINANCE)
Entity Organization
Organization subpart No
Enumeration date 04/27/2007
Last updated 07/22/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • PA Medicaid: 1007288440032

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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