Centerville Clinics , Inc. in Fredericktown - Specialist
Centerville Clinics , Inc. - NPI 1235110156
Centerville Clinics , Inc. is a Specialist in Fredericktown, Pennsylvania. Centerville Clinics , Inc. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Centerville Clinics , Inc. is 1235110156. The last update date is 2010-06-11.
Centerville Clinics , Inc.'s current location address is 1070 Old National Pike, Fredericktown, Pennsylvania. You can contact this provider via phone number 7246326801 and fax number 7246326312. The mailing address for Centerville Clinics , Inc. is 1070 Old National Pike, Fredericktown, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Centerville Clinics , Inc. |
|---|---|
| Address | 1070 Old National Pike, Fredericktown, Pennsylvania |
| Phone Number | 7246326801 |
| Fax Number | 7246326312 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR P |
|---|---|
| Authorized Official Name | Martos Patricia |
| Telephone Number | 7246326801 |
NPI Number Detail
| NPI Number | 1235110156 |
|---|---|
| Provider Enumeration Date | 2005-11-08 |
| Last Updated Date | 2010-06-11 |
Provider Mailing Address Detail
| Address | 1070 Old National Pike |
|---|---|
| City | Fredericktown |
| State | Pennsylvania (PA) |
| Post Code | 153332114 |
| Phone Number | 7246326801 |
| Fax Number | 7246326312 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 31218 | PA | HGSA - MEDICARE | |
| 31218 | PA | HIGHMARK - BLUE SHIELD | |
| 1804928 | PA | HIGHMARK BLUE SHIELD | |
| 328834A336347 | PA | VALUE BEHAVIORAL HEALTH | |
| 1007288440027 | PA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Centerville Clinics , Inc. by the Centers for Medicare & Medicaid Services (CMS)?
The Centerville Clinics , Inc. has been assigned the NPI (National Provider Identifier) 1235110156. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Centerville Clinics , Inc.'s facilities are geographically located?
The facilities of Centerville Clinics , Inc. are physically situated at the following location: 1070 Old National Pike, Fredericktown, PA, 153332114.
What is the Centerville Clinics , Inc.'s specialty and taxonomy code?
The Centerville Clinics , Inc.'s specialty is Specialist, and the corresponding taxonomy code is 174400000X.
When did Centerville Clinics , Inc. receive its 1235110156 assignment?
The Centerville Clinics , Inc. was assigned its 1235110156 on 2005-11-08, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Centerville Clinics , Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Centerville Clinics , Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-06-11.