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CENTERVILLE CLINICS INC
NPI 1710969019
Nurse Practitioner - Family in Fairchance, PA

Active since November 14, 2005
93 N MORGANTOWN ST, FAIRCHANCE, PA 15436(724) 564-0900(724) 564-9835 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Centerville Clinics Inc NPPES

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

CENTERVILLE CLINICS INC (NPI 1710969019) is a healthcare organization registered as a family in Fairchance, Pennsylvania and active in the NPI registry since November 2005. The organization lists Patricia Martos, Director Of Finance/personnel, as its authorized official.

NPPES Registry Identity

NPI1710969019
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCENTERVILLE CLINICS INC
Location Address93 N MORGANTOWN STFairchance, PA 15436-1039
Mailing Address1070 Old National PikeFredericktown, PA 15333-2114 · (724) 632-6801 · Fax (724) 632-6312
Phone(724) 564-0900
Fax(724) 564-9835
Organization SubpartNo
Authorized OfficialPatricia MartosDirector Of Finance/personnel · (724) 632-6801
Enumeration DateNovember 14, 2005
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1710969019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedFamily MedicineTaxonomy 207Q00000X

Other Identifiers 1

Medicaid1007288440031PA

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CENTERVILLE CLINICS, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
93 N MORGANTOWN ST
FAIRCHANCE, PA 15436
Fayette County (724) 564-0900
DR. BRIAN T TAYLOR M.D.
Family Medicine
93 N MORGANTOWN ST
FAIRCHANCE, PA 15436
Fayette County (724) 564-0900

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 1710969019. It was assigned to this organization in the NPPES registry on November 14, 2005.

Where is Centerville Clinics Inc located?

Centerville Clinics Inc is located at 93 N Morgantown St, Fairchance, PA 15436. The listed phone number is (724) 564-0900.

What is Centerville Clinics Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Centerville Clinics Inc was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.