CENTERVILLE CLINICS, INC. (NPI# 1164600995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164600995 |
| Entity Type | Organization |
| Organization Name | CENTERVILLE CLINICS, INC. |
| Practice Address |
179 Crawford Rd Fredericktown PA 15333-2011 |
| Mailing Address |
1070 Old National Pike Fredericktown PA 15333-2114 |
| Practice Telephone | 7242674919 |
| Practice Fax Number | 7242674907 |
| Mailing Telephone | 7246326801 |
| Mailing Fax Number | 7246326312 |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2013-06-20 |
| Authorized Official Name | MRS. PATRICIA MARTOS (DIRECTOR FINANCE AND PERSONNEL) |
| Authorized Official Telephone | 7246326801 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | VALUE BEHAVIORAL HEALTH | 328834A859670 | 01 |
| PA | CERTIFICATE OF COMPLIANCE | 422450 | 01 |
| PA | APPLYING | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902304009 | Centerville Clinics, Inc. | Social Worker | 50 Scenic Drive, Trinity Middle School, Washington, PA 15301 | 2018-01-24 |
| 1578061784 | Centerville Clinics, Inc. | Social Worker | 225 Midland Drive, Trinity North Elelmentary School, Washington, PA 15301 | 2018-01-23 |
| 1932450509 | Centerville Clinics, Inc. | Specialist | 3214 Constitution Blvd, Claysville, PA 15323-1333 | 2012-09-24 |
| 1154508620 | Centerville Clinics, Inc. | Community/Behavioral Health | 201 Alwine Ave, Greensburg, PA 15601-3211 | 2008-01-28 |
| 1073734281 | Centerville Clinics, Inc. | Clinic/Center | 200 Chamber Plz, Charleroi, PA 15022-1605 | 2007-05-02 |
| 1043430267 | Centerville Clinics, Inc. | Clinic/Center | 1006 Main Street, Republic, PA 15475 | 2007-04-27 |
| 1124191671 | Centerville Clinics, Inc. | Clinic/Center | 130 California Rd, Brownsville, PA 15417-9312 | 2006-11-15 |
| 1932181047 | Centerville Clinics, Inc. | Dental Assistant | 1006 Main Street, Republic, PA 15475 | 2005-11-15 |
| 1275514531 | Centerville Clinics, Inc. | Internal Medicine | 1150 7th St, Waynesburg, PA 15370-1660 | 2005-11-14 |
| 1427556646 | Centerville Clinics, Inc. | Social Worker | 231 Park Ave, Trinity High School, Washington, PA 15301 | 2018-01-23 |
| Street Address |
179 CRAWFORD RD |
| City | FREDERICKTOWN |
| State | PA |
| Zip Code | 15333-2011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720339393 | Centervillle Clinics, Inc | Specialist | 179 Crawford Rd, Fredericktown, PA 15333-2011 | 2012-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760968853 | Centerville Clinics Inc | Social Worker | Beth Center Middle School, 136 Crawford Road, Fredericktown, PA 15333 | 2018-07-12 |
| 1871079962 | Centerville Clinics Inc | Social Worker | Beth Center Elementary School, 194 Crawford Road, Fredericktown, PA 15333 | 2018-07-12 |
| 1235181124 | James William Davis IIi | Dentist | 1070 Old National Pike Road, Fredericktown, PA 15333 | 2006-05-17 |
| 1336126937 | Marsha Lawrence | Eyewear Supplier (Equipment, not the service) | 525 Front St, Fredericktown, PA 15333 | 2005-12-27 |
| 1730625278 | Armanda Mcgrew | Nurse Practitioner | 1070 Old National Pike, Fredericktown, PA 15333 | 2017-01-09 |
| 1881878361 | Marsha Lee Lawrence | Eyewear Supplier (Equipment, not the service) | 525 Front St, Fredericktown, PA 15333 | 2007-12-20 |
| 1073656559 | Bethlehem-center School District | Local Education Agency (LEA) | 194 Crawford Rd, Fredericktown, PA 15333-2012 | 2007-02-15 |
| 1699249508 | Scott Robert Hargraves | Physical Therapist | 205 Ridgewood Dr, Fredericktown, PA 15333-2020 | 2019-01-14 |
| 1902861925 | Michelle Renee Stepp | Chiropractor | 3317 Route 40, Fredericktown, PA 15333-2111 | 2006-04-20 |
| 1912185695 | 1st Stepp Family Chiropractic, LLC | Chiropractor | 3317 Route 40, Fredericktown, PA 15333-2111 | 2008-02-05 |
| Find all providers in zip 15333 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720339393 | Centervillle Clinics, Inc | Specialist | 179 Crawford Rd, Fredericktown, PA 15333-2011 | 2012-09-24 |
| 1760787816 | Fred M Susick | Specialist | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2011-01-21 |
| 1881845303 | Kimberly Dawn Smalley | Specialist | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2008-10-02 |
| 1831354158 | Jean Marie Ladisic | Specialist | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2008-07-25 |
| 1386848430 | Ann Deberardimis | Specialist | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2007-06-13 |
| 1023092384 | Lucarria Popielarcheck | Specialist | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2005-12-01 |
| 1235112855 | Barbara J Riggi | Specialist | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2005-11-29 |
| 1235110156 | Centerville Clinics, Inc. | Specialist | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2005-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346863909 | Courtney Romain-lopez | Specialist | 301 Lenape Trl, Allentown, PA 18104-8531 | 2020-05-18 |
| 1235751116 | Steven Charles Snyder | Specialist | 119 Boyd Hollow Ln, Spring Mills, PA 16875-7812 | 2020-05-13 |
| 1083236582 | Chelsea Meadows | Specialist | 693 Topaz Dr, Lancaster, PA 17603-5864 | 2020-05-07 |
| 1982224655 | Eric Rickin Md LLC | Specialist | 102 Lexington Ave Ste 2, Aspinwall, PA 15215-3257 | 2020-04-22 |
| 1134748510 | Beaver County Regenerative Wellness Centers PC | Specialist | 3582 Brodhead Rd Ste 108, Monaca, PA 15061-3142 | 2020-04-15 |
| 1780203414 | Essence Allen-presley | Specialist | 252 Melrose Ave, Lansdowne, PA 19050-2532 | 2020-04-13 |
| 1174156012 | Sade Yolanda Davis | Specialist | 2414 N Garnet St, Philadelphia, PA 19132-3725 | 2020-02-19 |
| 1487285094 | Kim O'toole | Specialist | 105 Hay Rd, Milford, PA 18337-9020 | 2020-02-01 |
| 1437789740 | Kate Beer | Specialist | 3357 W 43rd St, Erie, PA 16506-4233 | 2020-01-26 |
| 1346888690 | Colleen Ruddy | Specialist | 205 Glenburn Rd, Clarks Green, PA 18411-2534 | 2019-12-17 |
| Find all providers with the same taxonomy | ||||
| City | FREDERICKTOWN |
| Zip Code | 15333 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.