Centerville Clinics, Inc Connellsville Mh in Fredericktown - Federally Qualified Health Center (fqhc)
Centerville Clinics, Inc Connellsville Mh - NPI 1790951655
Centerville Clinics, Inc Connellsville Mh is a Federally Qualified Health Center (fqhc) in Fredericktown, Pennsylvania. Centerville Clinics, Inc Connellsville Mh practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Centerville Clinics, Inc Connellsville Mh is 1790951655. The last update date is 2008-05-01.
Centerville Clinics, Inc Connellsville Mh'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 Connellsville Mh is 1070 Old National Pike, Fredericktown, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Centerville Clinics, Inc Connellsville Mh |
|---|---|
| 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 | 1790951655 |
|---|---|
| Provider Enumeration Date | 2008-05-01 |
| Last Updated Date | 2008-05-01 |
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 |
| Licence No | 391911 |
|
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 |
|---|---|---|---|
| 391911 | PA | NATIONAL GOVERNMENT SERVICES | |
| 1007288440037 | PA | -- | |
| 328834A776089 | PA | VALUE BEHAVIORAL HEALTH |
Post Comment/ Review Below
What is the unique identifier code issued to Centerville Clinics, Inc Connellsville Mh by the Centers for Medicare & Medicaid Services?
The Centerville Clinics, Inc Connellsville Mh has been assigned the NPI (National Provider Identifier) 1790951655. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Centerville Clinics, Inc Connellsville Mh's physical address?
The Centerville Clinics, Inc Connellsville Mh is physically located at 1070 Old National Pike, in the city of Fredericktown, PA, with the postal code 153332114.
What is Centerville Clinics, Inc Connellsville Mh'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 Connellsville Mh is Federally Qualified Health Center (fqhc), and the taxonomy classification code that categorizes this area of expertise is 261Qf0400X.
On what date did Centerville Clinics, Inc Connellsville Mh receive its 1790951655 assignment from the Centers for Medicare & Medicaid Services?
The Centerville Clinics, Inc Connellsville Mh was assigned its 1790951655 on 2008-05-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Centerville Clinics, Inc Connellsville Mh, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Centerville Clinics, Inc Connellsville Mh, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-05-01.