CENTERVILLE CLINICS, INC. (NPI# 1124191671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124191671 |
| Entity Type | Organization |
| Organization Name | CENTERVILLE CLINICS, INC. |
| Practice Address |
130 California Rd Brownsville PA 15417-9312 |
| Mailing Address |
1070 Old National Pike Fredericktown PA 15333-2114 |
| Practice Telephone | 7249383554 |
| Mailing Telephone | 7246326801 |
| Mailing Fax Number | 7246326840 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2010-07-22 |
| Authorized Official Name | MRS. PATRICIA MARTOS (DIRECTOR FINANCE PERSONNEL) |
| 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) |
391972 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | NATIONAL GOVERNMENT SERVICES | 391972 | 01 |
| PA | 1007288440096 | 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 |
| 1043430267 | Centerville Clinics, Inc. | Clinic/Center | 1006 Main Street, Republic, PA 15475 | 2007-04-27 |
| 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 |
130 CALIFORNIA RD |
| City | BROWNSVILLE |
| State | PA |
| Zip Code | 15417-9312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376736223 | Centerville Clinics, Inc. | Clinic/Center | 130 California Rd, Brownsville, PA 15417-9312 | 2007-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356685663 | Wal-mart Stores East Lp | Technician/Technologist | 134 Daniel Kendall Dr., West Brownsville, PA 15417 | 2012-11-27 |
| 1073630190 | Wadhwani Cardio Pulumonary Associates, Inc | Specialist | 129 Simpson Raod, Suite 102, Brownsville, PA 15417 | 2007-03-23 |
| 1609838549 | Ashok K Sahai | Surgery | 129 Simpson Road, Suite #101, Brownsville, PA 15417 | 2006-04-05 |
| 1275538365 | Alan C Sally | Podiatrist | 631a National Pike E, Brownsville, PA 15417 | 2005-06-16 |
| 1477654150 | Bernard Joseph Dolobach | Dentist | 416 Market Street, Brownsville, PA 15417 | 2006-09-26 |
| 1003911751 | Bhagwan J Wadhwani | Specialist | 129 Simpson Road, Suite #102, Brownsville, PA 15417 | 2006-09-14 |
| 1912012022 | Prakorb Isariyawongse | Surgery | 129 Simpson Road, Suite 108, Brownsville, PA 15417 | 2006-08-20 |
| 1316942998 | Fayette Podiatry Associates Inc | Podiatrist | 631a National Pike E, Brownsville, PA 15417 | 2005-06-20 |
| 1114030350 | Brownsville Ambulance Service Inc | Ambulance | 12 Arch St, Box 300, Brownsville, PA 15417-1611 | 2006-08-15 |
| 1073612313 | Thrift Drug Inc | Pharmacy | 37 Market St, Brownsville, PA 15417-1764 | 2006-09-22 |
| Find all providers in zip 15417 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1457659468 | Brownsville Community Health Clinic Corporation | Clinic/Center | 191 East Price Road, Brownsville, TX 78521-3527 | 2011-03-01 |
| 1376736223 | Centerville Clinics, Inc. | Clinic/Center | 130 California Rd, Brownsville, PA 15417-9312 | 2007-08-23 |
| 1811901655 | Su Clinica Familiar | Clinic/Center | 105 E Alton Gloor Blvd, Brownsville, TX 78526-3391 | 2006-07-28 |
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| 1538781166 | Hyndman Area Health Center, Inc. | Clinic/Center | 214 College Park Plz Ste 203, Johnstown, PA 15904-2833 | 2020-05-18 |
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| Find all providers with the same taxonomy | ||||
| City | BROWNSVILLE |
| Zip Code | 15417 |
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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.