Centre Health Network, LLC

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

MD 016740E Issued in PA

Legal business name

CENTRE HEALTH NETWORK, LLC

Practice address

2505 Green Tech Dr
Ste. C
State College, PA 16803-2316

Phone

(814) 234-4142

Fax

(814) 234-2682

NPI assigned

Feb 23, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Scott Michael Dehart, MD, PH.D

Title

Medical Director

Phone

(814) 234-4142

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114052750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 GREEN TECH DR",
            "address_2": "STE. C",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168032316",
            "telephone_number": "814-234-4142",
            "fax_number": "814-234-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 GREEN TECH DR",
            "address_2": "STE. C",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168032316",
            "telephone_number": "814-234-4142",
            "fax_number": "814-234-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRE HEALTH NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEHART",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "814-234-4142",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PH.D"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "PA",
            "license": "MD 016740E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centre County Youth Service Bureau
• Centre Dermatology PC
• Centre Diagnostic Imaging, PC
• Centre Emergency Medical Associates, PC.
• Centre Geriatric Care, LLC
• Centre Homecare Inc
• Centre Homecare Inc
• Centre Homecare, Inc.
• Centre Lifelink Emergency Medical Services Inc
• Centre Medical and Surgical Associates, P.C.

• Occupational Medicine Physician in State College, PA
• Providers in State College, PA by specialty
• Occupational Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.