Centerville Clinics, Inc. in Fredericktown - Federally Qualified Health Center (fqhc)
Centerville Clinics, Inc. - NPI 1851514251
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 1851514251. The last update date is 2010-07-16.
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 Patty |
| Telephone Number | 7246326801 |
NPI Number Detail
| NPI Number | 1851514251 |
|---|---|
| Provider Enumeration Date | 2007-04-11 |
| Last Updated Date | 2010-07-16 |
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 |
|---|---|---|---|
| 1007288440030 | PA | -- |
Post Comment/ Review Below
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) 1851514251. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Centerville Clinics, Inc. is physically located?
The Centerville Clinics, Inc. is physically situated at the following address: 1070 Old National Pike, Fredericktown, PA, 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 Centerville Clinics, Inc. receive the assignment of its 1851514251 from the Centers for Medicare & Medicaid Services?
The Centerville Clinics, Inc. was issued its 1851514251 by the Centers for Medicare & Medicaid Services on 2007-04-11.
As of what date were the Centerville Clinics, Inc.'s details last updated?
The information pertaining to the Centerville Clinics, Inc., including its address, specialty, and other details, was most recently updated on 2010-07-16.