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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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Federally Qualified Health Center (FQHC) |
261QF0400X | B4[14] | Federally Qualified Health Center |
| NPI Number | 1790808962 |
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| LBN Legal business name | CENTERVILLE CLINICS, INC. | ||||||||
| Authorized official | BARRY NICCOLAI - (EXECUTIVE DIRECTOR) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 04/10/2007 | ||||||||
| Last updated | 12/02/2020 - About 6 years ago | ||||||||
| Identifiers |
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CENTERVILLE CLINICS, INC.