CENTERVILLE CLINICS, INC. (NPI# 1497946776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497946776 |
Entity Type | Organization |
Organization Name | CENTERVILLE CLINICS, INC. |
Practice Address |
190 Bonar Ave Waynesburg PA 15370-1604 |
Mailing Address |
1070 Old National Pike Fredericktown PA 15333-2114 |
Practice Telephone | 7246278156 |
Mailing Telephone | 7246326801 |
Mailing Fax Number | 7246326312 |
Enumeration Date | 2007-08-05 |
Last Update Date | 2010-10-25 |
Authorized Official Name | MRS. PATTY MARTOS (DIRECTOR PERSONNEL/FINANCE) |
Authorized Official Telephone | 7246326801 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 1007288440088 | 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 |
1164600995 | Centerville Clinics, Inc. | Specialist | 179 Crawford Rd, Fredericktown, PA 15333-2011 | 2008-02-04 |
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 |
Street Address |
190 BONAR AVE |
City | WAYNESBURG |
State | PA |
Zip Code | 15370-1604 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609867969 | Linda C Kovach | Social Worker | 190 Bonar Ave, Waynesburg, PA 15370-1604 | 2005-11-04 |
1790234706 | Kristy Borovichka | Counselor | 190 Bonar Ave, Waynesburg, PA 15370-1604 | 2016-10-03 |
1194150045 | Darcie Lynn Coen | Counselor | 190 Bonar Ave, Waynesburg, PA 15370-1604 | 2013-09-11 |
1821357187 | Megan Mcklveen | Technician, Other | 190 Bonar Ave, Waynesburg, PA 15370-1604 | 2012-05-08 |
1538432166 | Tricia Tokish | Specialist/Technologist, Other | 190 Bonar Ave, Waynesburg, PA 15370-1604 | 2012-02-13 |
1548533185 | Krista Porter | Specialist/Technologist, Other | 190 Bonar Ave, Waynesburg, PA 15370-1604 | 2012-02-13 |
1710283502 | Jenna Petrick | Specialist/Technologist, Other | 190 Bonar Ave, Waynesburg, PA 15370-1604 | 2011-01-27 |
1801045489 | Joseph Leroy Burgess | Case Manager/Care Coordinator | 190 Bonar Ave, Waynesburg, PA 15370-1604 | 2008-09-18 |
1992960223 | Lisa A Huffine | Specialist | 190 Bonar Ave, Waynesburg, PA 15370-1604 | 2008-07-25 |
1679748594 | Centerville Clinics, Inc. Psy | Social Worker | 190 Bonar Ave, Waynesburg, PA 15370-1604 | 2008-04-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063040830 | Meghan Murphy-bedilion | Dietitian, Registered | 417 Bill George Drive, Waynesburg, PA 15370 | 2020-03-29 |
1518443209 | Centerville Clinics Inc | Social Worker | West Greene Elementary, 1367 Hargus Creek Road, Waynesburg, PA 15370 | 2018-07-16 |
1639655673 | Centerville Clinics Inc | Social Worker | West Greene Middle/senior Hs, 1367 Hargus Creek Road, Waynesburg, PA 15370 | 2018-07-12 |
1124555370 | Rebekah Barbara Matta | Specialist/Technologist | 51 West College St., Waynesburg, PA 15370 | 2017-05-18 |
1720461411 | Jessica Burnsworth | Counselor | 95 East High Stree, Suite 342, Waynesburg, PA 15370 | 2015-06-30 |
1174824411 | Srmc Healthcare Group, LLC | Podiatrist | 236 Elm Drive, Suite 104, Waynesburg, PA 15370 | 2010-11-03 |
1447551783 | Srmc Healthcare Group, LLC | Family Medicine | 1150 7th Street, Waynesburg, PA 15370 | 2010-11-03 |
1154656957 | Mikee L. Krieg | Counselor | 95 East High Street, Suite 407, Waynesburg, PA 15370 | 2009-10-12 |
1578896106 | Sue-ann R Woods | Occupational Therapist | 160 Greene Plaza, Waynesburg, PA 15370 | 2009-09-15 |
1720285026 | United Cerebral Palsy of Swpa, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 140 South Oakview Drive, Waynesburg, PA 15370 | 2007-06-29 |
Find all providers in zip 15370 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043741713 | Cumberland Family Medical Center, Inc. | Clinic/Center | 345 Ky Highway 328 W, Waynesburg, KY 40489-8205 | 2017-03-24 |
1144250812 | Cornerstone Care, Inc. | Clinic/Center | 35 S West St, Waynesburg, PA 15370-2029 | 2006-07-05 |
1952811242 | Cornerstone Care Inc. | Clinic/Center | 236 Elm Dr, Waynesburg, PA 15370-8265 | 2017-10-02 |
1063943736 | Cumberland Family Medical Center, Inc. | Clinic/Center | 75 Tick Ridge Rd, Waynesburg, KY 40489-8202 | 2017-03-24 |
1033460597 | Cornerstone Care Inc. | Clinic/Center | 501 W High St, Waynesburg, PA 15370-7209 | 2012-09-25 |
1710147004 | Cornerstone Care, Inc. | Clinic/Center | 501 W High St, Waynesburg, PA 15370-7209 | 2008-06-11 |
1659569036 | Cornerstone Care, Inc. | Clinic/Center | 236 Elm Dr, Suite 101, Waynesburg, PA 15370-8265 | 2007-10-10 |
1417142845 | Centerville Clinics, Inc. | Clinic/Center | 1150 7th St, Waynesburg, PA 15370-1660 | 2007-09-10 |
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1467063396 | Greater Philadelphia Health Action Incorporated | Clinic/Center | 1952 E Allegheny Ave, Philadelphia, PA 19134-3122 | 2020-08-13 |
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1275151607 | Greater Philadelphia Health Action Incorporated | Clinic/Center | 1717 W Allegheny Ave, Philadelphia, PA 19132-1606 | 2020-07-13 |
1538781166 | Hyndman Area Health Center, Inc. | Clinic/Center | 214 College Park Plz Ste 203, Johnstown, PA 15904-2833 | 2020-05-18 |
1588285076 | Community Health and Dental Care, Inc | Clinic/Center | 1315 Route 100 North, Barto, PA 19504-8724 | 2020-05-06 |
1053946079 | Neighborhood Health Centers of The Lehigh Valley | Clinic/Center | 635 E Broad St, Bethlehem, PA 18018-6332 | 2020-03-10 |
Find all providers with the same taxonomy |
City | WAYNESBURG |
Zip Code | 15370 |
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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.