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CENTERVILLE CLINICS, INC CONNELLSVILLE MH
NPI 1790951655
Specialist in Connellsville, PA

Active since May 01, 2008CLIA 39D1019493 · Waiver
208 S ARCH ST, CONNELLSVILLE, PA 15425(724) 626-2630 Get Directions Write a Review

NPPES record last updated: May 1, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Centerville Clinics, Inc Connellsville Mh NPPES

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

CENTERVILLE CLINICS, INC CONNELLSVILLE MH (NPI 1790951655) is a healthcare organization registered as a specialist in Connellsville, Pennsylvania and active in the NPI registry since May 2008. The organization holds a CLIA Waiver certificate valid through November 19, 2027 and lists Patty Martos, Director Finance And Personnel, as its authorized official.

NPPES Registry Identity

NPI1790951655
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCENTERVILLE CLINICS, INC CONNELLSVILLE MH
Location Address208 S ARCH STConnellsville, PA 15425-3519
Mailing Address1070 Old National PikeFredericktown, PA 15333-2114 · (724) 632-6801 · Fax (724) 632-6312
Phone(724) 626-2630
Organization SubpartNo
Authorized OfficialPatty MartosDirector Finance And Personnel · (724) 632-6801
Enumeration DateMay 1, 2008
✔ NPI 1790951655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedClinic/Center · Federally Qualified Health Center (FQHC)Taxonomy 261QF0400X · License 391911 (PA)
208 S ARCH ST, Connellsville, PA 15425
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Other Identifiers 3

Other328834A776089PA · Value Behavioral Health
Other391911PA · National Government Services
Medicaid1007288440037PA

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 39D1019493

Centerville Clinic Connellsville Office · Connellsville, PA
Active · expires Nov 19, 2027
CLIA Number39D1019493
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateNovember 20, 2025
Certificate Expiration DateNovember 19, 2027
Laboratory DirectorDr. Thomas G. Wittman
Laboratory Phone(724) 626-2630
Laboratory LocationCenterville Clinic Connellsville Office601 South Arch Street, Connellsville, PA 15425
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

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

TIFFANY DAWN FRENCH CRNP
Nurse Practitioner (Family)
208 S ARCH ST
CONNELLSVILLE, PA 15425
Fayette County (724) 984-6999
CENTERVILLE CLINICS INC
Dentist
208 S ARCH ST
CONNELLSVILLE, PA 15425
Fayette County (724) 626-2630
DR. ALBERT KELLY ENANY II MD
Internal Medicine
208 S ARCH ST
CONNELLSVILLE, PA 15425
Fayette County (724) 628-3500
MR. MARK D KING PT
Physical Therapist
208 S ARCH ST
CONNELLSVILLE, PA 15425
Fayette County (724) 628-7288
ALBERT K ENANY MD PC
Internal Medicine
208 S ARCH ST
CONNELLSVILLE, PA 15425
Fayette County (724) 628-3500
MR. ANDREW J. LOY M.ED./ED.S., LPC
Counselor (Professional)
208 S ARCH ST, SUITE 5
CONNELLSVILLE, PA 15425
Fayette County (724) 322-6485
CENTERVILLE CLINICS, INC
Case Management
208 S ARCH ST
CONNELLSVILLE, PA 15425
Fayette County (724) 626-2630
MS. AMY JO TOBAK
Case Manager/Care Coordinator
208 S ARCH ST
CONNELLSVILLE, PA 15425
Fayette County (724) 626-2630

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 Connellsville Mh's NPI number?

The NPI number for Centerville Clinics, Inc Connellsville Mh is 1790951655. It was assigned to this organization in the NPPES registry on May 1, 2008.

Where is Centerville Clinics, Inc Connellsville Mh located?

Centerville Clinics, Inc Connellsville Mh is located at 208 S Arch St, Connellsville, PA 15425. The listed phone number is (724) 626-2630.

What is Centerville Clinics, Inc Connellsville Mh's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Centerville Clinics, Inc Connellsville Mh hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D1019493) is associated with this NPI, valid through November 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Centerville Clinics, Inc Connellsville Mh was last updated on May 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.