Centerville Clinics, Inc. in Fredericktown - Specialist
Centerville Clinics, Inc. - NPI 1629246780
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 1629246780. The last update date is 2015-09-03.
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 | 1629246780 |
|---|---|
| Provider Enumeration Date | 2008-02-12 |
| Last Updated Date | 2015-09-03 |
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 |
|---|---|---|---|
| 1007288440109 | PA | -- | |
| 328834A336350 | PA | VALUE BEHAVIORAL HEALTH |
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) 1629246780. 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.
On what date did the Centerville Clinics, Inc. receive the assignment of its 1629246780 from the Centers for Medicare & Medicaid Services?
The Centerville Clinics, Inc. was issued its 1629246780 by the Centers for Medicare & Medicaid Services on 2008-02-12.
When was the information regarding Centerville Clinics, Inc., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Centerville Clinics, Inc., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-09-03.