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Centerville Clinics, Inc.

Organization Active NPI Federally Qualified Health Center (FQHC) · Avella, PA

NPI 1336076819 · NPPES record last updated Jul 30, 2026

Key facts

NPI
1336076819
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
CENTERVILLE CLINICS, INC.
Practice address
9 Campbell St
Avella, PA 15312-2151
Phone
(724) 632-6801
Fax
(724) 632-6312
NPI assigned
May 7, 2026
Organization subpart
No

Authorized official

Name
Barry R Niccolai
Title
Ceo
Phone
(724) 632-6801

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Centerville Clinics Inc (66 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Yes

Addresses

Primary practice location

9 Campbell St
Avella, PA 15312-2151

Mailing address

1070 Old National Pike
Fredericktown, PA 15333-2114
Phone (724) 632-6801

Other providers in Avella, PA

All providers in Avella, PA · Federally Qualified Health Center (FQHC) in Pennsylvania

Sources for this page

Verify at the official NPI Registry.