Centerville Clinics, Inc. in Fredericktown - Radiologic Technologist

Centerville Clinics, Inc. - NPI 1568566867

Centerville Clinics, Inc. is a Radiologic Technologist in Fredericktown, Pennsylvania. Centerville Clinics, Inc. practices all healthcare services and medical treatments related to Radiologic Technologist. The NPI Number for Centerville Clinics, Inc. is 1568566867. The last update date is 2010-06-17.

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 1568566867
Provider Enumeration Date 2006-09-08
Last Updated Date 2010-06-17

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 Radiologic Technologist
Taxonomy 247100000X
Licence No 1501927
Definition:
A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2157508 PA HIGHMARK BLUE SHIELD

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FAQs about Centerville Clinics, Inc.

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) 1568566867. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Centerville Clinics, Inc. is physically located?

The Centerville Clinics, Inc. is situated at the following address: 1070 Old National Pike, Fredericktown, PA 153332114.

What is Centerville Clinics, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Centerville Clinics, Inc.'s specialized field of practice is Radiologic Technologist, and the corresponding taxonomy code that categorizes this area of specialization is 247100000X.

On what date was the 1568566867 assigned to Centerville Clinics, Inc.?

The Centerville Clinics, Inc. was issued its 1568566867 on 2006-09-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Centerville Clinics, Inc. last refreshed?

The information related to the Centerville Clinics, Inc., including its address, specialty, and other relevant details, was last updated on 2010-06-17.

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