CENTERVILLE CLINICS, INC. (NPI# 1902929185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902929185 |
| Entity Type | Organization |
| Organization Name | CENTERVILLE CLINICS, INC. |
| Practice Address |
601 W George St Carmichaels PA 15320-1325 |
| Mailing Address |
1070 Old National Pike Fredericktown PA 15333-2114 |
| Practice Telephone | 7249665081 |
| Practice Fax Number | 7246326312 |
| Mailing Telephone | 7246326801 |
| Mailing Fax Number | 7246326312 |
| Enumeration Date | 2007-04-10 |
| 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 | 1007288440028 | 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 |
601 W GEORGE ST |
| City | CARMICHAELS |
| State | PA |
| Zip Code | 15320-1325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477543817 | Jer Yuan Tsai | Internal Medicine | 601 W George St, Carmichaels, PA 15320-1325 | 2005-10-26 |
| 1447501614 | Stacy M Batovsky | Case Manager/Care Coordinator | 601 W George St, Carmichaels, PA 15320-1325 | 2012-09-27 |
| 1124379391 | Bradley S Walters | Case Manager/Care Coordinator | 601 W George St, Carmichaels, PA 15320-1325 | 2012-09-27 |
| 1063700615 | Jacqueline Jackson | Case Manager/Care Coordinator | 601 W George St, Carmichaels, PA 15320-1325 | 2011-07-18 |
| 1063711547 | Diane L Bieliski | Case Manager/Care Coordinator | 601 W George St, Carmichaels, PA 15320-1325 | 2011-03-23 |
| 1508163924 | Emily A Janoski | Case Manager/Care Coordinator | 601 W George St, Carmichaels, PA 15320-1325 | 2011-02-21 |
| 1851693477 | Louis A Richards Jr. | Case Manager/Care Coordinator | 601 W George St, Carmichaels, PA 15320-1325 | 2010-12-02 |
| 1487963310 | Joseph E Nakoneczny IIi | Case Manager/Care Coordinator | 601 W George St, Carmichaels, PA 15320-1325 | 2010-09-27 |
| 1841506318 | Carrie Lynn Dague | Case Manager/Care Coordinator | 601 W George St, Carmichaels, PA 15320-1325 | 2010-08-23 |
| 1295054799 | Pamela J Browning | Case Manager/Care Coordinator | 601 W George St, Carmichaels, PA 15320-1325 | 2010-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578721312 | Pratt Personal Care Home | Assisted Living Facility | 179 Pratt Road, Carmichaels, PA 15320 | 2008-05-29 |
| 1346211778 | David Joseph Szarell | Dentist | 108 N Market St, Carmichaels, PA 15320 | 2006-02-01 |
| 1821219437 | David R. Angelini | Pharmacist | 555 Route 88, Carmichaels, PA 15320 | 2007-05-01 |
| 1639203292 | Elizabeth Mason | Psychologist | 117 Circle Vue Dr, Carmichaels, PA 15320-1105 | 2007-03-15 |
| 1356817266 | Stars Pediatric Therapy | Clinic/Center | 101 South Vine Street, Suite 1, Carmichaels, PA 15320-1140 | 2018-10-17 |
| 1750835732 | Specialized Therapy and Related Services | Early Intervention Provider Agency | 207 Park Ave, Carmichaels, PA 15320-1140 | 2016-08-08 |
| 1548322852 | The Medicine Mine Inc. | Pharmacy | 555 Route 88, Carmichaels, PA 15320-1173 | 2006-12-14 |
| 1922551522 | Gregory Angelini | Pharmacist | 555 Route 88, Carmichaels, PA 15320-1173 | 2016-07-31 |
| 1003937749 | Andrew Porter | Pharmacist | 555 Route 88, Carmichaels, PA 15320-1173 | 2007-04-02 |
| 1871580084 | William Anthony Czyzewski | Chiropractor | 200 N Market St, Carmichaels, PA 15320-1226 | 2005-10-03 |
| Find all providers in zip 15320 | ||||
| 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 | CARMICHAELS |
| Zip Code | 15320 |
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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.