Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Active since October 11, 2019CLIA 39D2176313 · Waiver
570 GALIFFA DR, DONORA, PA 15033(724) 379-4401 Get Directions Write a Review

NPPES record last updated: September 3, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 3, 2026, Oct 11, 2019 (2 updates tracked since 2019).

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 Address570 GALIFFA DRDonora, PA 15033-1385
Mailing Address1070 Old National PikeFredericktown, PA 15333-2114 · (724) 632-6801 · Fax (724) 632-6312
Organization SubpartNo
Authorized OfficialBarry R NiccolaiExecutive Director · (724) 632-6801
Enumeration DateOctober 11, 2019
Last NPPES UpdateSeptember 3, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2026
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
570 GALIFFA DR, Donora, PA 15033

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

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 570 Galiffa Dr, 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 September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.