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CENTERVILLE CLINICS INC
NPI 1164064002
Clinic/Center - Federally Qualified Health Center (FQHC) in Donora, PA

Active since October 11, 2019CLIA 39D2176313 · Waiver
CENTERVILLE CLINICS-DONORA FAMILY MEDICINE, 718 MCKEAN AVENUE, DONORA, PA 15033(724) 379-4401 Get Directions Write a Review

NPPES record last updated: October 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Centerville Clinics Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTERVILLE CLINICS INC (NPI 1164064002) is a healthcare organization registered as a federally qualified health center (fqhc) in Donora, Pennsylvania and active in the NPI registry since October 2019. The organization holds a CLIA Waiver certificate valid through December 11, 2027 and lists Barry R Niccolai, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1164064002
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCENTERVILLE CLINICS INC
Location AddressCENTERVILLE CLINICS-DONORA FAMILY MEDICINE, 718 MCKEAN AVENUEDonora, PA 15033-1061
Mailing AddressCenterville Clinics Inc, 1070 Old National Pike RoadFredericktown, PA 15333-2114 · (724) 632-6801 · Fax (724) 632-6312
Phone(724) 379-4401
Organization SubpartNo
Authorized OfficialBarry R NiccolaiExecutive Director · (724) 632-6801
Enumeration DateOctober 11, 2019
✔ NPI 1164064002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedFamily MedicineTaxonomy 207Q00000X
CENTERVILLE CLINICS-DONORA FAMILY MEDICINE, Donora, PA 15033
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Other Identifiers 1

Medicaid1007288440027PA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2176313

Centerville Clinics - Donora · Donora, PA
Active · expires Dec 11, 2027
CLIA Number39D2176313
Laboratory TypePhysician Office
Certificate Effective DateDecember 12, 2025
Certificate Expiration DateDecember 11, 2027
Laboratory DirectorDr. Charles R. Brown
Laboratory Phone(724) 379-4401
Laboratory LocationCenterville Clinics - Donora718 Mckean Avenue, Donora, PA 15033
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Centerville Clinics Inc's NPI number?

The NPI number for Centerville Clinics Inc is 1164064002. It was assigned to this organization in the NPPES registry on October 11, 2019.

Where is Centerville Clinics Inc located?

Centerville Clinics Inc is located at Centerville Clinics-Donora Family Medicine 718 Mckean Avenue, Donora, PA 15033. The listed phone number is (724) 379-4401.

What is Centerville Clinics Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Centerville Clinics Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2176313) is associated with this NPI, valid through December 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Centerville Clinics Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Centerville Clinics Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Centerville Clinics Inc was last updated on October 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.