CENTERVILLE CLINICS, INC.; NPI #1043430267

Contact Information

CENTERVILLE CLINICS, INC.

1006 MAIN STREET,
REPUBLIC, PA 15475

Phone: 724-246-9434
Fax: 724-246-9846
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center

Indicates primary specialty

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NPI Profile & details for CENTERVILLE CLINICS, INC.

NPI # 1043430267

LBN Legal business name CENTERVILLE CLINICS, INC.

Authorized official PATTY MARTOS - (DIRECTOR PERSONEL FINANCE)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/27/2007

Last updated 07/22/2010 - About 16 years ago

Identifiers

Medicaid

1007288440032

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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