CENTERVILLE CLINICS, INC BENTWORTH SCHOOLS (NPI# 1114105954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114105954 |
| Entity Type | Organization |
| Organization Name | CENTERVILLE CLINICS, INC BENTWORTH SCHOOLS |
| Practice Address |
75 Bearcat Dr Bentleyville PA 15314-1421 |
| Mailing Address |
1070 Old National Pike Fredericktown PA 15333-2114 |
| Practice Telephone | 7242395911 |
| Practice Fax Number | 7242394010 |
| Mailing Telephone | 7246326801 |
| Mailing Fax Number | 7246326312 |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2008-02-04 |
| Authorized Official Name | MRS. PATRICIA MARTOS (DIRECTOR FINANCE AND PERSONNEL) |
| Authorized Official Telephone | 7246326801 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | CERTIFICATE OF COMPLIANCE | 422450 | 01 |
| PA | APPLYING | 05 |
| Street Address |
75 BEARCAT DR |
| City | BENTLEYVILLE |
| State | PA |
| Zip Code | 15314-1421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063794634 | Centerville Clinics, Inc. | Community/Behavioral Health | 75 Bearcat Dr, Bentleyville, PA 15314-1421 | 2011-09-09 |
| 1275711954 | Centerville Clinics, Inc | Specialist | 75 Bearcat Dr, Bentleyville, PA 15314-1421 | 2008-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033695077 | Centerville Clinics Inc | Social Worker | Bentworth Middle School, 563 Lincoln Avenue, Bentleyville, PA 15314 | 2018-07-12 |
| 1205312394 | Centerville Clinics Inc | Social Worker | Bentworth Elementary School, 150 Bearcat Drive, Bentleyville, PA 15314 | 2018-07-12 |
| 1376927426 | Britney Harff | Physical Therapy Assistant | 28 Johnston Rd Ext, Bentleyville, PA 15314 | 2015-07-17 |
| 1932393535 | Diana Sue Guarinoni | Physical Therapist | 998-b Main Street, Bentleyville, PA 15314 | 2007-08-28 |
| 1881679801 | Michelle C Kubistek | Physical Therapist | 998b Main Street, Bentleyville, PA 15314 | 2005-12-13 |
| 1881815645 | Jonathan Scott Richards | Pharmacist | 175 Wilson Road, Bentleyville, PA 15314 | 2007-05-01 |
| 1760491484 | Tammy Fendya | Nurse Practitioner | 119 Wilson Rd, Bentleyville, PA 15314 | 2006-08-05 |
| 1609038017 | Stephanie Lynn Wilson | Physical Therapist | 121 Wilson Rd, Bentleyville, PA 15314-1027 | 2008-06-26 |
| 1841218815 | Joel S Rozen | Dentist | 147 Wilson Rd, Bentleyville, PA 15314-1027 | 2006-07-18 |
| 1992701106 | Southwest Medical Center, Inc | Internal Medicine | 119 Wilson Rd, Bentleyville, PA 15314-1027 | 2005-06-22 |
| Find all providers in zip 15314 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811321714 | Centerville Clinics, Inc. | Specialist | 150 Bearcat Dr, Bentleyville, PA 15314-1463 | 2013-08-27 |
| 1275711954 | Centerville Clinics, Inc | Specialist | 75 Bearcat Dr, Bentleyville, PA 15314-1421 | 2008-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346863909 | Courtney Romain-lopez | Specialist | 301 Lenape Trl, Allentown, PA 18104-8531 | 2020-05-18 |
| 1235751116 | Steven Charles Snyder | Specialist | 119 Boyd Hollow Ln, Spring Mills, PA 16875-7812 | 2020-05-13 |
| 1083236582 | Chelsea Meadows | Specialist | 693 Topaz Dr, Lancaster, PA 17603-5864 | 2020-05-07 |
| 1982224655 | Eric Rickin Md LLC | Specialist | 102 Lexington Ave Ste 2, Aspinwall, PA 15215-3257 | 2020-04-22 |
| 1134748510 | Beaver County Regenerative Wellness Centers PC | Specialist | 3582 Brodhead Rd Ste 108, Monaca, PA 15061-3142 | 2020-04-15 |
| 1780203414 | Essence Allen-presley | Specialist | 252 Melrose Ave, Lansdowne, PA 19050-2532 | 2020-04-13 |
| 1174156012 | Sade Yolanda Davis | Specialist | 2414 N Garnet St, Philadelphia, PA 19132-3725 | 2020-02-19 |
| 1487285094 | Kim O'toole | Specialist | 105 Hay Rd, Milford, PA 18337-9020 | 2020-02-01 |
| 1437789740 | Kate Beer | Specialist | 3357 W 43rd St, Erie, PA 16506-4233 | 2020-01-26 |
| 1346888690 | Colleen Ruddy | Specialist | 205 Glenburn Rd, Clarks Green, PA 18411-2534 | 2019-12-17 |
| Find all providers with the same taxonomy | ||||
| City | BENTLEYVILLE |
| Zip Code | 15314 |
Please comment or provide details below to improve the information on CENTERVILLE CLINICS, INC BENTWORTH SCHOOLS.
| 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.