Centerville Clinics, Inc. in Fredericktown - Federally Qualified Health Center (fqhc)

Centerville Clinics, Inc. - NPI 1003037201

Centerville Clinics, Inc. is a Federally Qualified Health Center (fqhc) in Fredericktown, Pennsylvania. Centerville Clinics, Inc. practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Centerville Clinics, Inc. is 1003037201. The last update date is 2009-10-28.

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 F
Authorized Official Name Martos Patty
Telephone Number 7246326801

NPI Number Detail

NPI Number 1003037201
Provider Enumeration Date 2007-05-02
Last Updated Date 2009-10-28

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 Federally Qualified Health Center (fqhc)
Taxonomy 261Qf0400X
Definition:
Provides primary and preventive care services in underserved areas, receiving certain federal funding grants.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1007288440031 PA --

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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) 1003037201. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Centerville Clinics, Inc.?

The Centerville Clinics, Inc. is physically situated at 1070 Old National Pike, in the city of Fredericktown, state of PA, with the postal code 153332114.

What is the Centerville Clinics, Inc.'s specialty and taxonomy code?

The Centerville Clinics, Inc.'s specialty is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code is 261Qf0400X.

On what date did the Centers for Medicare & Medicaid Services assign the 1003037201 to Centerville Clinics, Inc.?

The Centers for Medicare & Medicaid Services assigned the 1003037201 to Centerville Clinics, Inc. on 2007-05-02.

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 2009-10-28.

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