CENTERVILLE CLINICS, INC. (NPI# 1043430267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043430267 |
| Entity Type | Organization |
| Organization Name | CENTERVILLE CLINICS, INC. |
| Practice Address |
1006 Main Street Republic PA 15475 |
| Mailing Address |
1070 Old National Pike Fredericktown PA 15333-2114 |
| Practice Telephone | 7242469434 |
| Practice Fax Number | 7242469846 |
| Mailing Telephone | 7246326801 |
| Mailing Fax Number | 7246326801 |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2010-07-22 |
| Authorized Official Name | MRS. PATTY MARTOS (DIRECTOR PERSONEL FINANCE) |
| Authorized Official Telephone | 7246326801 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007288440032 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902304009 | Centerville Clinics, Inc. | Social Worker | 50 Scenic Drive, Trinity Middle School, Washington, PA 15301 | 2018-01-24 |
| 1578061784 | Centerville Clinics, Inc. | Social Worker | 225 Midland Drive, Trinity North Elelmentary School, Washington, PA 15301 | 2018-01-23 |
| 1932450509 | Centerville Clinics, Inc. | Specialist | 3214 Constitution Blvd, Claysville, PA 15323-1333 | 2012-09-24 |
| 1164600995 | Centerville Clinics, Inc. | Specialist | 179 Crawford Rd, Fredericktown, PA 15333-2011 | 2008-02-04 |
| 1154508620 | Centerville Clinics, Inc. | Community/Behavioral Health | 201 Alwine Ave, Greensburg, PA 15601-3211 | 2008-01-28 |
| 1073734281 | Centerville Clinics, Inc. | Clinic/Center | 200 Chamber Plz, Charleroi, PA 15022-1605 | 2007-05-02 |
| 1124191671 | Centerville Clinics, Inc. | Clinic/Center | 130 California Rd, Brownsville, PA 15417-9312 | 2006-11-15 |
| 1932181047 | Centerville Clinics, Inc. | Dental Assistant | 1006 Main Street, Republic, PA 15475 | 2005-11-15 |
| 1275514531 | Centerville Clinics, Inc. | Internal Medicine | 1150 7th St, Waynesburg, PA 15370-1660 | 2005-11-14 |
| 1427556646 | Centerville Clinics, Inc. | Social Worker | 231 Park Ave, Trinity High School, Washington, PA 15301 | 2018-01-23 |
| Street Address |
1006 MAIN STREET, |
| City | REPUBLIC |
| State | PA |
| Zip Code | 15475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912045949 | Jennifer Kovach | Chiropractor | 1614 New Salem Road, Republic, PA 15475 | 2007-02-02 |
| 1932181047 | Centerville Clinics, Inc. | Dental Assistant | 1006 Main Street, Republic, PA 15475 | 2005-11-15 |
| 1477809739 | Bryan A Ferro | Pharmacist | 1009 Main Street, Box 757, Republic, PA 15475 | 2012-07-24 |
| 1073678850 | Edward S. Wilcox | Durable Medical Equipment & Medical Supplies | 1009 Main St, Republic, PA 15475 | 2006-12-22 |
| 1073672507 | Edward Samuel Wilcox | Pharmacist | 1009 Main St, Republic, PA 15475 | 2006-12-08 |
| 1558314724 | Ingrid K Toothman | Dentist | 1006 Main Street, Republic, PA 15475 | 2006-05-18 |
| 1710161336 | Aaron Lenhart | Family Medicine | 1006 Main St., P.o. Bx 786, Republic, PA 15475-0786 | 2007-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847979 | Vyjean Young | In Home Supportive Care | 919 N Township Road 181, Republic, OH 44867-9545 | 2020-09-27 |
| 1609494814 | Amy Sue Ridenour | Nurse Practitioner | 429 N Douglas Dr, Republic, MO 65738-9525 | 2020-07-14 |
| 1013539048 | Martin Dale Hodges | Physical Therapist | 830 S Illinois Ave, Republic, MO 65738-1177 | 2020-05-13 |
| 1336780386 | Sugar Tree Counseling, LLC | Counselor | 316 Us Highway 60 W, Republic, MO 65738-1433 | 2019-10-01 |
| 1215585922 | Lawana Kay Patterson | Technician | 1702 East New Madrid, Republic, MO 65738 | 2019-08-27 |
| 1023579919 | Steven Place | Marriage & Family Therapist | 1244 Us Highway 60 E, Republic, MO 65738-1248 | 2019-03-25 |
| 1609335165 | Cara Marie Shanks | Social Worker | 2030 E Charles St, Republic, MO 65738-2653 | 2019-03-14 |
| 1366909335 | Elloren Neadel Mitchell | Registered Nurse | 3275 E Jamestown St, Republic, MO 65738-9114 | 2019-02-26 |
| 1497219059 | Samantha J Steed | Chiropractor | 530 E Hadley St, Republic, MO 65738 | 2019-01-29 |
| 1295215846 | Stephanie Cronin | Speech-Language Pathologist | 201 E State Highway 174, Republic, MO 65738-1115 | 2018-08-14 |
| Find all providers in REPUBLIC | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073939849 | Advocates for A Healthy Community, Inc | Clinic/Center | 550 E Harrison St, Republic, MO 65738-1353 | 2014-03-17 |
| 1457778094 | Advocates for A Healthy Community | Clinic/Center | 550 E Harrison St, Republic, MO 65738-1353 | 2014-03-20 |
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|---|---|---|---|---|
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
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| 1275151607 | Greater Philadelphia Health Action Incorporated | Clinic/Center | 1717 W Allegheny Ave, Philadelphia, PA 19132-1606 | 2020-07-13 |
| 1538781166 | Hyndman Area Health Center, Inc. | Clinic/Center | 214 College Park Plz Ste 203, Johnstown, PA 15904-2833 | 2020-05-18 |
| 1588285076 | Community Health and Dental Care, Inc | Clinic/Center | 1315 Route 100 North, Barto, PA 19504-8724 | 2020-05-06 |
| 1053946079 | Neighborhood Health Centers of The Lehigh Valley | Clinic/Center | 635 E Broad St, Bethlehem, PA 18018-6332 | 2020-03-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.