Centerville Clinics, Inc. in Fredericktown - Federally Qualified Health Center (fqhc)
Centerville Clinics, Inc. - NPI 1417142845
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 1417142845. The last update date is 2010-07-16.
Centerville Clinics, Inc.'s current location address is 1070 Old N Ational Pike Road, 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 N Ational Pike Road, Fredericktown, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Centerville Clinics, Inc. |
|---|---|
| Address | 1070 Old N Ational Pike Road, 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 | 1417142845 |
|---|---|
| Provider Enumeration Date | 2007-09-10 |
| Last Updated Date | 2010-07-16 |
Provider Mailing Address Detail
| Address | 1070 Old N Ational Pike Road |
|---|---|
| City | Fredericktown |
| State | Pennsylvania (PA) |
| Post Code | 15333 |
| Phone Number | 7246326801 |
| Fax Number | 7246326312 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
| Licence No | 391811 |
|
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 |
|---|---|---|---|
| 1007288440036 | PA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Centerville Clinics, Inc.?
The Centerville Clinics, Inc. has been issued the NPI (National Provider Identifier) 1417142845 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
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 N Ational Pike Road, Fredericktown, PA 15333.
What is Centerville Clinics, Inc.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Centerville Clinics, Inc. is Federally Qualified Health Center (fqhc), and the corresponding taxonomy classification code for this specialized field is 261Qf0400X.
On what date did the Centerville Clinics, Inc. receive the assignment of its 1417142845 from the Centers for Medicare & Medicaid Services?
The Centerville Clinics, Inc. was issued its 1417142845 by the Centers for Medicare & Medicaid Services on 2007-09-10.
When was the information pertaining to Centerville Clinics, Inc. most recently updated or revised?
The details related to Centerville Clinics, Inc., including its address, specialty, and other relevant information, were last updated or revised on 2010-07-16.
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