Centerville Clinics Inc
Organization Active NPI Family Medicine Physician · Carmichaels, PA
NPI 1881675288 · NPPES record last updated Jan 18, 2008
Key facts
- NPI
- 1881675288
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- CENTERVILLE CLINICS INC
- Practice address
- 601 W George St
Carmichaels, PA 15320-1325 - Phone
- (724) 966-5081
- NPI assigned
- Nov 11, 2005
- Organization subpart
- No
Authorized official
- Name
- Mrs. Patricia Martos
- Title
- Director Finance/Personnel
- Phone
- (724) 632-6801
Corporate family (same tax ID) 21
National Provider Directory
- Tax ID family
- Centerville Clinics Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | |||
| Family Medicine Physician |
207Q00000X | Yes | ||
| Internal Medicine Physician |
207R00000X | |||
| Obstetrics & Gynecology Physician |
207V00000X | |||
| Surgery Physician |
208600000X |
Addresses
Primary practice location
601 W George St
Carmichaels, PA 15320-1325
Mailing address
1070 Old National Pike
Fredericktown, PA 15333-2114
Phone (724) 632-6801
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 328834A764918 | Medicaid | PA |
Other providers in Carmichaels, PA
- Terri Lee Bowen
- Amy L Brown
- Pamela J Browning
- Carmichaels Area School District
- Centerville Clinics - Carmichael X-Ray
- Centerville Clinics, Inc Blended
- Centerville Clinics, Inc Carmichaels Area School
- Centerville Clinics, Inc.
- Natalie M Clark
- Claysville Pharmacy LLC
All providers in Carmichaels, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.