CENTERVILLE CLINICS, INC. (NPI# 1649491887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649491887 |
| Entity Type | Organization |
| Organization Name | CENTERVILLE CLINICS, INC. |
| Practice Address |
1152 Wood St California PA 15419-1260 |
| Mailing Address |
1070 Old National Pike Fredericktown PA 15333-2114 |
| Practice Telephone | 7249382122 |
| Mailing Telephone | 7246326801 |
| Mailing Fax Number | 7246326312 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2010-07-16 |
| 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) |
PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007288440095 | 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 |
1152 WOOD ST |
| City | CALIFORNIA |
| State | PA |
| Zip Code | 15419-1260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851382535 | Marvin Mcgowan | Family Medicine | 1152 Wood St, California, PA 15419-1260 | 2005-11-02 |
| 1437525987 | Erika Rae Robaugh | Nurse Practitioner | 1152 Wood St, California, PA 15419-1260 | 2015-08-19 |
| 1801115308 | Dennis M Balogh Jr. | Case Manager/Care Coordinator | 1152 Wood St, California, PA 15419-1260 | 2010-05-24 |
| 1023344694 | Matthew P Anderson | Case Manager/Care Coordinator | 1152 Wood St, California, PA 15419-1260 | 2009-11-02 |
| 1437389640 | Christopher M Antonini | Case Manager/Care Coordinator | 1152 Wood St, California, PA 15419-1260 | 2009-07-22 |
| 1508096728 | Jonathan Packroni | Case Manager/Care Coordinator | 1152 Wood St, California, PA 15419-1260 | 2009-07-22 |
| 1295977171 | Jeffrey L Morris | Case Manager/Care Coordinator | 1152 Wood St, California, PA 15419-1260 | 2009-03-24 |
| 1013193713 | Centerville Clinics, Inc. | Case Manager/Care Coordinator | 1152 Wood St, California, PA 15419-1260 | 2008-01-14 |
| 1952519324 | Jonathan D Watson | Case Manager/Care Coordinator | 1152 Wood St, California, PA 15419-1260 | 2007-05-18 |
| 1306933023 | Todd Fleissner | Case Manager/Care Coordinator | 1152 Wood St, California, PA 15419-1260 | 2006-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568980712 | Kayla Shinew Collins | Specialist/Technologist | California University of Pa, 250 University Dr. Box #14, California, PA 15419 | 2017-09-07 |
| 1427432061 | Rebecca Mary Thomas | Physician Assistant | 415 Third St, California, PA 15419 | 2015-07-14 |
| 1124149406 | Orthopedic and Sports Physical Therapy Associates Inc | Speech-Language Pathologist | 228 Wood Street, California, PA 15419 | 2007-04-03 |
| 1326127838 | Joni Lee Roh | Specialist/Technologist | 250 University Avenue, California University of Pennsylvania, California, PA 15419 | 2006-11-03 |
| 1336104660 | Min H Park | Family Medicine | 217 Wood St, California, PA 15419 | 2006-04-19 |
| 1144280512 | Randolph Aaron Magone | Chiropractor | University Chiropractic, 346 Third Street, California, PA 15419 | 2006-03-28 |
| 1952423774 | Orthopedic and Sports Physical Therapy Associates Inc Ot | Occupational Therapist | 228 Wood Street, California, PA 15419 | 2007-04-04 |
| 1285679399 | Jodi Deblassio | Specialist | 228 Wood St, California, PA 15419-1049 | 2006-06-20 |
| 1316975931 | Scott Wilson | Specialist | 228 Wood St, California, PA 15419-1049 | 2006-06-30 |
| 1770574352 | Allison Francis Verenna | Family Medicine | 415 3rd St, California, PA 15419-1102 | 2005-11-02 |
| Find all providers in zip 15419 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
| City | CALIFORNIA |
| Zip Code | 15419 |
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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.