CENTERVILLE CLINICS (NPI# 1578026191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578026191 |
| Entity Type | Organization |
| Organization Name | CENTERVILLE CLINICS |
| Practice Address |
Peters Township High School 264 East Mcmurray Road Mcmurray PA 15317 |
| Mailing Address |
Centerville Clinics Inc 1070 Old National Pike Road Fredericktown PA 15333-2114 |
| Practice Telephone | 7249416250 |
| Practice Fax Number | 7249420915 |
| Mailing Telephone | 7246326801 |
| Mailing Fax Number | 7246326312 |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2019-04-10 |
| 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 |
|---|---|---|---|---|---|
| Y | 1041S0200X |
Social Worker Specialization: School |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007288440027 | 05 |
| Street Address |
PETERS TOWNSHIP HIGH SCHOOL 264 EAST MCMURRAY ROAD |
| City | MCMURRAY |
| State | PA |
| Zip Code | 15317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487294062 | Agnes Odelia Strang | Technician | 18 Angerer Rd, Canonsburg, PA 15317 | 2020-01-10 |
| 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 |
| 1104315241 | Jill Brandtonies | Nurse Practitioner | 5000 Waterdam Plaza Dr Ste 180, Canonsburg, PA 15317 | 2018-05-03 |
| 1053827527 | Debra Gowans | Registered Nurse | 100 Blue Jay Road, Canonsburg, PA 15317 | 2017-12-20 |
| 1801300462 | Caregivers On Demand LLC | In Home Supportive Care | 125 Technology Dr Ste 103, Canonsburg, PA 15317 | 2017-11-18 |
| 1407365919 | Robert Michael Krak | Dentist | 169 Progress Drive, Waynesburg, PA 15317 | 2017-09-27 |
| 1457873838 | Sara Vallelunga | Physician Assistant | 62 Abbeywood Lane, Canonsburg, PA 15317 | 2017-07-07 |
| 1457770364 | Skraitz Chiropractic PC | Chiropractor | 2476 Washington Road, Canonsburg, PA 15317 | 2014-04-08 |
| 1679996359 | Lianne Wassell | Counselor | 1200 Ashwood Drive, Suite 1201, Canonsburg, PA 15317 | 2014-01-30 |
| Find all providers in zip 15317 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
| 1306309927 | Centerville Clinics Inc | Social Worker | Bower Hill Elementary School, 424 Bower Hill Road, Venetia, PA 15367 | 2019-04-10 |
| 1386125730 | Michelle L Marchand | Social Worker | 7701 Lindbergh Blvd Apt 1201, Philadelphia, PA 19153-2117 | 2018-08-23 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.