Centerville Clinics, Inc. in Fredericktown - Federally Qualified Health Center (fqhc)
Centerville Clinics, Inc. - NPI 1164636759
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 1164636759. The last update date is 2009-10-28.
Centerville Clinics, Inc.'s current location address is 1070 Old National Pike Rd, 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 Rd, Fredericktown, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Centerville Clinics, Inc. |
|---|---|
| Address | 1070 Old National Pike Rd, 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 | 1164636759 |
|---|---|
| Provider Enumeration Date | 2007-05-10 |
| Last Updated Date | 2009-10-28 |
Provider Mailing Address Detail
| Address | 1070 Old National Pike Rd |
|---|---|
| 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 |
|---|---|---|---|
| 1007288440033 | PA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Centerville Clinics, Inc. by the Centers for Medicare & Medicaid Services?
The Centerville Clinics, Inc. has been issued the NPI (National Provider Identifier) 1164636759 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Centerville Clinics, Inc.'s facilities are situated?
The facilities of Centerville Clinics, Inc. are physically located at the following address: 1070 Old National Pike Rd, Fredericktown, PA, 153332114.
What is Centerville Clinics, Inc.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Centerville Clinics, Inc. is Federally Qualified Health Center (fqhc), and the taxonomy classification code that categorizes this area of expertise is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1164636759 to Centerville Clinics, Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1164636759 to Centerville Clinics, Inc. on 2007-05-10.
As of what date were the details related to Centerville Clinics, Inc. most recently updated or revised?
The information pertaining to Centerville Clinics, Inc., including its address, specialty, and other relevant details, was last updated or revised on 2009-10-28.