CENTERVILLE CLINICS, INC. (NPI# 1578061784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578061784 |
| Entity Type | Organization |
| Organization Name | CENTERVILLE CLINICS, INC. |
| Practice Address |
225 Midland Drive Trinity North Elelmentary School Washington PA 15301 |
| Mailing Address |
1070 Old National Pike Road Centerville Clinics Inc Fredericktown PA 15333-2114 |
| Practice Telephone | 7242225064 |
| Mailing Telephone | 7246326801 |
| Mailing Fax Number | 7246326312 |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2018-01-23 |
| 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 | 1007288440027 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902304009 | Centerville Clinics, Inc. | Social Worker | 50 Scenic Drive, Trinity Middle School, Washington, PA 15301 | 2018-01-24 |
| 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 |
| 1427556646 | Centerville Clinics, Inc. | Social Worker | 231 Park Ave, Trinity High School, Washington, PA 15301 | 2018-01-23 |
| Street Address |
225 MIDLAND DRIVE TRINITY NORTH ELELMENTARY SCHOOL |
| City | WASHINGTON |
| State | PA |
| Zip Code | 15301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629601208 | Tammi Kathleen Hanak | Speech-Language Pathologist | 2212 Shawnee Drive, Address Line 2, Washington, PA 15301 | 2020-02-21 |
| 1922652460 | Shannon Rouse | Nurse Practitioner | 95 Leonard Avenue Building 2 2nd Floor, Washington, PA 15301 | 2019-08-01 |
| 1700352291 | Heather Mcvay PC | Clinic/Center | 2112 North Franklin Dr, Suite 3, Washington, PA 15301 | 2018-10-23 |
| 1689169880 | Oper King | Counselor | 8 Oliver Rd, Oliver Square Suite 116, Uniontown, PA 15301 | 2018-06-29 |
| 1609374701 | Centerville Clinics Inc | Social Worker | 201 Allison Ave, Washington High School, Washington, PA 15301 | 2018-01-24 |
| 1902304009 | Centerville Clinics, Inc. | Social Worker | 50 Scenic Drive, Trinity Middle School, Washington, PA 15301 | 2018-01-24 |
| 1780182873 | Centerville Clinics, Inc | Social Worker | 252 Cameron Road, Trinity East Elementary School, Washington, PA 15301 | 2018-01-24 |
| 1700384807 | Centerville Clinics Inc | Social Worker | 801 East Wheeling St., Washington Park Elementary, Washington, PA 15301 | 2018-01-24 |
| 1992203095 | Centerville Clinics Inc | Social Worker | 2500 South Main St Ext., Trinity South Elementary School, Washington, PA 15301 | 2018-01-24 |
| 1891217618 | Healthdirect Institutional Pharmacy Services Inc | Pharmacy | 1100 W Chestnut St Ste 200, Washington, PA 15301 | 2017-07-13 |
| Find all providers in zip 15301 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861005399 | Christine Jokisch | Social Worker | 33rd Riggs Rd Ne, Washington, DC 20011 | 2020-08-25 |
| 1245887942 | Kelly Kolb | Social Worker | 2600 Virginia Ave Nw Ste 900, Washington, DC 20037-1930 | 2019-08-19 |
| 1407400153 | Lara Burt | Social Worker | 1801 Mississippi Ave Se Fl 3, Washington, DC 20020-6120 | 2019-07-31 |
| 1043776586 | Courtney Moore-mercado | Social Worker | 429 P Street Nw, Washington, DC 20002 | 2019-02-20 |
| 1962988212 | Molly Evans | Social Worker | 4250 Massachusetts Ave Se, Washington, DC 20019-5620 | 2018-07-18 |
| 1609374701 | Centerville Clinics Inc | Social Worker | 201 Allison Ave, Washington High School, Washington, PA 15301 | 2018-01-24 |
| 1902304009 | Centerville Clinics, Inc. | Social Worker | 50 Scenic Drive, Trinity Middle School, Washington, PA 15301 | 2018-01-24 |
| 1780182873 | Centerville Clinics, Inc | Social Worker | 252 Cameron Road, Trinity East Elementary School, Washington, PA 15301 | 2018-01-24 |
| 1700384807 | Centerville Clinics Inc | Social Worker | 801 East Wheeling St., Washington Park Elementary, Washington, PA 15301 | 2018-01-24 |
| 1992203095 | Centerville Clinics Inc | Social Worker | 2500 South Main St Ext., Trinity South Elementary School, Washington, PA 15301 | 2018-01-24 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 15301 |
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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.