CENTERVILLE CLINICS INC


Address: Centerville Clinics-donora Family Medicine, 718 Mckean Avenue, Donora, PA 15033-1061
Phone: 7243794401

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
PA 1007288440027 05

Other Provider IDs and Locations

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

Office Location

Street Address CENTERVILLE CLINICS-DONORA FAMILY MEDICINE
718 MCKEAN AVENUE
City DONORA
State PA
Zip Code 15033-1061

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

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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
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
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Competitor

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City DONORA
Zip Code 15033

Improve Information

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Dataset Information

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.

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