CENTERVILLE CLINICS INC (NPI# 1477039410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477039410 |
| Entity Type | Organization |
| Organization Name | CENTERVILLE CLINICS INC |
| Practice Address |
Bobtown Elementary 304 Grant Street Bobtown PA 15315 |
| Mailing Address |
Centerville Clinics Inc 1070 Old National Pike Road Fredericktown PA 15333-2114 |
| Practice Telephone | 7248397241 |
| Mailing Telephone | 7246326801 |
| Mailing Fax Number | 7246326312 |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2018-07-12 |
| Authorized Official Name | MR. BARRY NICCOLAI (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7246326801 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041S0200X |
Social Worker Specialization: School |
PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 10072884400 | 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 |
| 1164064002 | Centerville Clinics Inc | Family Medicine | Centerville Clinics-donora Family Medicine, 718 Mckean Avenue, Donora, PA 15033-1061 | 2019-10-11 |
| 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 |
| 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 |
BOBTOWN ELEMENTARY 304 GRANT STREET |
| City | BOBTOWN |
| State | PA |
| Zip Code | 15315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376154286 | Melissa Uphold | Technician | 320 N Willis St, Bobtown, PA 15315 | 2020-08-13 |
| 1689640591 | Bobtown Dunkard Twp Vol Fire Dept Ambulance | Ambulance | 1 Larimer Avenue, Bobtown, PA 15315 | 2006-02-28 |
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245841345 | Maureen Marie Mctamney | Social Worker | 3449 N Mascher St, Philadelphia, PA 19140-4621 | 2020-08-12 |
| 1477171635 | Baron Jackson Jr. | Social Worker | 84 W Frederick St Apt 3, Millersville, PA 17551-1945 | 2020-07-13 |
| 1811534365 | Kendra Tate | Social Worker | 5540 Edsel St, Harrisburg, PA 17109-5658 | 2019-12-03 |
| 1336785104 | Channel Lowery | Social Worker | 1 South George Street, Millersville, PA 17551-1340 | 2019-11-26 |
| 1992364111 | Jessica Ann Moyer | Social Worker | 362 Churchill Rd Ste 120, Pittsburgh, PA 15235-5307 | 2019-06-11 |
| 1578026191 | Centerville Clinics | Social Worker | Peters Township High School, 264 East Mcmurray Road, Mcmurray, PA 15317 | 2019-04-10 |
| 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 |
| 1386125730 | Michelle L Marchand | Social Worker | 7701 Lindbergh Blvd Apt 1201, Philadelphia, PA 19153-2117 | 2018-08-23 |
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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.