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Contact Information

CENTERVILLE CLINICS, INC.
1070 OLD NATIONAL PIKE
FREDERICKTOWN, PA15333-2114
 Phone: 724-632-6801
 Fax: 724-632-6312
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiologic Technologist

247100000X
 

Mammography Radiologic Technologist

2471M2300X
Indicates primary specialty

NPI Profile & details for CENTERVILLE CLINICS, INC.

NPI Number 1568566867
LBN Legal business name CENTERVILLE CLINICS, INC.
Authorized official PATRICIA MARTOS - (DIRECTOR PERSONNEL/FINANCE)
Entity Organization
Organization subpart 1 No
Enumeration date 09/08/2006
Last updated 06/17/2010 - About 16 years ago
Identifiers
PA License # 105916
PA License # 1501927
PA Other 2157508 HIGHMARK BLUE SHIELD
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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