CENTERVILLE CLINICS INC (NPI# 1164064002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164064002 |
Entity Type | Organization |
Organization Name | CENTERVILLE CLINICS INC |
Practice Address |
Centerville Clinics-donora Family Medicine 718 Mckean Avenue Donora PA 15033-1061 |
Mailing Address |
Centerville Clinics Inc 1070 Old National Pike Road Fredericktown PA 15333-2114 |
Practice Telephone | 7243794401 |
Mailing Telephone | 7246326801 |
Mailing Fax Number | 7246326312 |
Enumeration Date | 2019-10-11 |
Last Update Date | 2019-10-11 |
Authorized Official Name | MR. BARRY R NICCOLAI (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 7246326801 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 1007288440027 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558969741 | Centerville Clinics Inc | Community/Behavioral Health | Centerville Clinics-intensive Behavioral Health Service, 37 Highland Avenue, Washington, PA 15301-4062 | 2020-10-12 |
1598314908 | Centerville Clinics Inc | Family Medicine | Centerville Clinics - City Mission Site, 84 W Wheeling Street, Washington, PA 15301-6918 | 2019-09-09 |
1306309927 | Centerville Clinics Inc | Social Worker | Bower Hill Elementary School, 424 Bower Hill Road, Venetia, PA 15367 | 2019-04-10 |
1700349321 | Centerville Clinics Inc | Social Worker | Peters Township Middle School, 626 East Mcmurray Road, Mcmurray, PA 15317 | 2019-04-10 |
1811450448 | Centerville Clinics Inc | Social Worker | Pleasant Valley Elementary School, 250 East Mcmurray Road, Mcmurray, PA 15317 | 2019-04-10 |
1871079566 | Centerville Clinics Inc | Social Worker | California High School, 11 Trojan Way, Coal Center, PA 15423-1059 | 2018-07-16 |
1518443209 | Centerville Clinics Inc | Social Worker | West Greene Elementary, 1367 Hargus Creek Road, Waynesburg, PA 15370 | 2018-07-16 |
1477039410 | Centerville Clinics Inc | Social Worker | Bobtown Elementary, 304 Grant Street, Bobtown, PA 15315 | 2018-07-12 |
1033695077 | Centerville Clinics Inc | Social Worker | Bentworth Middle School, 563 Lincoln Avenue, Bentleyville, PA 15314 | 2018-07-12 |
1760968853 | Centerville Clinics Inc | Social Worker | Beth Center Middle School, 136 Crawford Road, Fredericktown, PA 15333 | 2018-07-12 |
Street Address |
CENTERVILLE CLINICS-DONORA FAMILY MEDICINE 718 MCKEAN AVENUE |
City | DONORA |
State | PA |
Zip Code | 15033-1061 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902968886 | Wladyslaw Bobak | Internal Medicine | 609 Thompson Drive, Donora, PA 15033 | 2006-12-15 |
1871552208 | Joseph P Pozzi | Chiropractor | 1000 Mckean Avenue, Donora, PA 15033 | 2006-03-23 |
1124080437 | Ira Cohen | Dentist | 661 Mckean Ave, Donora, PA 15033-1002 | 2006-04-03 |
1023019551 | Edgar C Cordero Md PC | Surgery | 627 Mckean Ave, Donora, PA 15033-1002 | 2005-08-09 |
1992907810 | Edgar C Cordero | Surgery | 627 Mckean Ave, Donora, PA 15033-1002 | 2007-06-04 |
1710189840 | Marc E Cordero | Surgery | 627 Mckean Ave, Donora, PA 15033-1002 | 2007-06-01 |
1528161114 | Harry M Marchewka Rph PC | Pharmacy | 601 Mckean Ave, Donora, PA 15033-1003 | 2006-09-07 |
1881686970 | Harry Michael Marchewka | Pharmacist | 642 Mckean Ave, Donora, PA 15033-1003 | 2005-08-16 |
1144388612 | Harry Michael Marchewka Jr. | Pharmacist | 642 Mckean Ave, Donora, PA 15033-1003 | 2006-12-05 |
1376619676 | Lawrence Raymond Barnes | Pharmacist | 642 Mckean Ave, Donora, PA 15033-1003 | 2006-11-28 |
Find all providers in zip 15033 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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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.