Centerville Clinics, Inc Peer Support in Fredericktown - Specialist/technologist, Other
Centerville Clinics, Inc Peer Support - NPI 1033398235
Centerville Clinics, Inc Peer Support is a Specialist/technologist, Other in Fredericktown, Pennsylvania. Centerville Clinics, Inc Peer Support practices all healthcare services and medical treatments related to Specialist/technologist, Other. The NPI Number for Centerville Clinics, Inc Peer Support is 1033398235. The last update date is 2007-10-24.
Centerville Clinics, Inc Peer Support'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 Peer Support is 1070 Old National Pike, Fredericktown, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Centerville Clinics, Inc Peer Support |
|---|---|
| Address | 1070 Old National Pike, Fredericktown, Pennsylvania |
| Phone Number | 7246326801 |
| Fax Number | 7246326312 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR F |
|---|---|
| Authorized Official Name | Martos Patty |
| Telephone Number | 7246326801 |
NPI Number Detail
| NPI Number | 1033398235 |
|---|---|
| Provider Enumeration Date | 2007-10-24 |
| Last Updated Date | 2007-10-24 |
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/technologist, Other |
|---|---|
| Taxonomy | 246Z00000X |
|
Definition: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 422450 | PA | CERTIFICATE OF COMPLIANCE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Centerville Clinics, Inc Peer Support by the Centers for Medicare & Medicaid Services?
The Centerville Clinics, Inc Peer Support has been assigned the NPI (National Provider Identifier) 1033398235 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Centerville Clinics, Inc Peer Support is physically located?
The Centerville Clinics, Inc Peer Support is physically situated at the following address: 1070 Old National Pike, Fredericktown, PA, 153332114.
What is Centerville Clinics, Inc Peer Support's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Centerville Clinics, Inc Peer Support is Specialist/technologist, Other, and the taxonomy code that categorizes this field of expertise is 246Z00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1033398235 to Centerville Clinics, Inc Peer Support?
The Centers for Medicare & Medicaid Services assigned the 1033398235 to Centerville Clinics, Inc Peer Support on 2007-10-24.
As of what date were the details pertaining to Centerville Clinics, Inc Peer Support last refreshed?
The information related to the Centerville Clinics, Inc Peer Support, including its address, specialty, and other relevant details, was last updated on 2007-10-24.