CENTERVILLE CLINICS, INC. NPI 1003037201

Clinic/Center (Federally Qualified Health Center (FQHC)) in Fairchance, PA

NPI 1003037201 Organization Clinic/Center Federally Qualified Health Center (FQHC)

About CENTERVILLE CLINICS, INC.

Centerville Clinics, Inc. is a primary care provider established in Fairchance, Pennsylvania specializing in clinic/center (federally qualified health center (fqhc)) . The NPI number of Centerville Clinics, Inc. is 1003037201 and was assigned on May 2007. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Mrs. Patty Martos (Director Finance Personnel)

A primary care provider (PCP) like Centerville Clinics, Inc. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

NPI

1003037201

Provider NameCENTERVILLE CLINICS, INC.
Provider Location Address93 N MORGANTOWN ST FAIRCHANCE, PA 15436
Provider Mailing Address1070 OLD NATIONAL PIKE FREDERICKTOWN, PA 15333
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date05-02-2007
Last Update Date10-28-2009


Primary Taxonomy

Taxonomy Code261QF0400X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationFederally Qualified Health Center (FQHC)
License StatePA

Business Address

CENTERVILLE CLINICS, INC.
93 N MORGANTOWN ST
FAIRCHANCE, PA
ZIP 15436
Phone: (724) 564-0900
Fax: (724) 564-9835

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Mailing Address

CENTERVILLE CLINICS, INC.
1070 OLD NATIONAL PIKE
FREDERICKTOWN, PA
ZIP 15333
Phone: (724) 632-6801
Fax: (724) 632-6312



Authorized Official

Authorized Official NameMRS. PATTY MARTOS
Authorized Official TitleDIRECTOR FINANCE PERSONNEL
Authorized Official Phone(724) 632-6801

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
1007288440031MEDICAID (05)PA
391860MEDICARE OSCAR/CERTIFICATION (06)PA

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1760473367DR. BRIAN T TAYLOR M.D.
Individual
Family Medicine93 N MORGANTOWN ST
FAIRCHANCE, PA 15436
(724) 564-0900
1760717144MRS. JENNA ANN PICCOLOMINI P.A.
Individual
Physician Assistant93 N MORGANTOWN ST
FAIRCHANCE, PA 15436
(724) 564-0900
1710969019CENTERVILLE CLINICS INC
Organization
Family Medicine93 N MORGANTOWN ST
FAIRCHANCE, PA 15436
(724) 564-0900

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.