CENTERVILLE CLINICS, INC. (NPI# 1164636759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164636759 |
| Entity Type | Organization |
| Organization Name | CENTERVILLE CLINICS, INC. |
| Practice Address |
86 Mcclellandtown Rd Uniontown PA 15401-5527 |
| Mailing Address |
1070 Old National Pike Rd Fredericktown PA 15333-2114 |
| Practice Telephone | 7244307990 |
| Practice Fax Number | 7244307993 |
| Mailing Telephone | 7246326801 |
| Mailing Fax Number | 7246326312 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2009-10-28 |
| Authorized Official Name | MRS. PATTY 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) |
PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007288440033 | 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 |
| 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 |
| Street Address |
86 MCCLELLANDTOWN RD |
| City | UNIONTOWN |
| State | PA |
| Zip Code | 15401-5527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063412088 | Theresa Lacava | Family Medicine | 86 Mcclellandtown Rd, Uniontown, PA 15401-5527 | 2005-08-01 |
| 1639303258 | Rupal H Thakor | Family Medicine | 86 Mcclellandtown Rd, Uniontown, PA 15401-5527 | 2009-05-11 |
| 1851578843 | Nipun Aggarwal | Internal Medicine | 86 Mcclellandtown Rd, Uniontown, PA 15401-5527 | 2008-01-22 |
| 1578750519 | Cheng Vang Lee | Family Medicine | 86 Mcclellandtown Rd, Uniontown, PA 15401-5527 | 2007-10-03 |
| 1699756965 | Centerville Clinics, Inc | Family Medicine | 86 Mcclellandtown Rd, Uniontown, PA 15401-5527 | 2005-11-14 |
| 1114918505 | Wha Sub Kim | Obstetrics & Gynecology | 86 Mcclellandtown Rd, Uniontown, PA 15401-5527 | 2005-11-03 |
| 1720079296 | Anita C Fiala | Family Medicine | 86 Mcclellandtown Rd, Uniontown, PA 15401-5527 | 2005-11-02 |
| 1730179029 | Karla J Kaphengst | Family Medicine | 86 Mcclellandtown Rd, Uniontown, PA 15401-5527 | 2005-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811541808 | Kevin C Kutchman | Physical Medicine & Rehabilitation | 15 Morgantown Street, Uniontown, PA 15401 | 2019-07-28 |
| 1316502958 | Rosalia Friess | Occupational Therapist | 147 Lafayette Street, Uniontown, PA 15401 | 2019-05-09 |
| 1801369012 | Jill Cristen Bellush | Occupational Therapy Assistant | Lafayette Manor, Inc, 147 Lafayette Manor Road, Uniontown, PA 15401 | 2019-01-10 |
| 1679054183 | Wellness Recovery LLC | Counselor | 9-11 Veech St., Uniontown, PA 15401 | 2018-08-23 |
| 1851802185 | Young Men's Christian Association of Uniontown | Health Educator | One Ymca Drive, Uniontown, PA 15401 | 2017-10-13 |
| 1942730759 | Michele Dice | Social Worker | 89 W. Fayette Street, Uniontown, PA 15401 | 2017-06-14 |
| 1427593425 | Revital Metro | Counselor | 1203 Pittsburgh Road, Suite 101, Uniontown, PA 15401 | 2016-12-29 |
| 1366987729 | Michelle Carolla | Physician Assistant | 141 Wayland Smith Drive, Uniontown, PA 15401 | 2016-12-21 |
| 1558805176 | Samantha Helmantoler | Counselor | 1023 Pittsburgh Road, Uniontown, PA 15401 | 2016-12-16 |
| 1639527351 | Fayette Resources, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Millennium Drive Suite 2, Uniontown, PA 15401 | 2016-06-03 |
| Find all providers in zip 15401 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
| 1386670453 | Community Action Medical Services | Clinic/Center | 140 N Beeson Ave, Suite 300, Uniontown, PA 15401 | 2006-06-23 |
| 1942551403 | Cornerstone Care Inc. | Clinic/Center | 140 N Beeson Ave, Suite 400, Uniontown, PA 15401-2937 | 2012-09-25 |
| 1144526419 | Cornerstone Care, Inc | Clinic/Center | 140 N Beeson Ave, Uniontown, PA 15401-2937 | 2011-02-04 |
| 1033298757 | Rural Health Medical Program, Inc. | Clinic/Center | 330 Old Hamburg Rd, Uniontown, AL 36786-2614 | 2006-11-03 |
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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.