DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CENTERVILLE CLINICS, INC

MEDICARE: CENTERVILLE CLINICS, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician
2207R00000XInternal Medicine Physician
3363AM0700XMedical Physician Assistant

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053392852
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTERVILLE CLINICS, INC
Provider Business Mailing Address
First Line : 1070 OLD NATIONAL PIKE
Second Line :
City : FREDERICKTOWN
State : PA
Zip : 15333-2114
Country : US
Telephone Number : 724-632-6801
Fax Number : 724-632-6312
Provider Business Practice Location Address
First Line : 1152 WOOD ST
Second Line :
City : CALIFORNIA
State : PA
Zip : 15419-1260
Country : US
Telephone Number : 724-938-2122
Fax Number :
Authorized Official
Title or Position : DIRECTOR PERSONNEL FINANCE
Name : MRS. PATRICIA MARTOS
Credential :
Telephone Number : 724-632-6801
Provider Enumeration Date : 11/09/2005
Last Update Date : 09/11/2025

Similar Medicare Providers

1851382535 — DR. MARVIN MCGOWAN D.O.
Practice Location Address:
1152 WOOD ST
CALIFORNIA, PA
15419-1260
Practice Phone: 724-632-6801
Practice Fax: 724-938-7853
1881685386 — MRS. PAMELA J WEAKLAND P.A.
Practice Location Address:
1152 WOOD ST
CALIFORNIA, PA
15419-1260
Practice Phone: 724-938-2122
Practice Fax:
1285616615 — MRS. JEANNE MARIE HOLZAPFEL BSW
Practice Location Address:
1152 WOOD ST
CALIFORNIA, PA
15419-1260
Practice Phone: 724-938-2099
Practice Fax: 724-938-3221
1154304392 — MRS. JESSICA L. LAWRENCE BSW
Practice Location Address:
1152 WOOD STREET
CALIFORNIA, PA
15419-1260
Practice Phone: 724-938-2099
Practice Fax:
1386627230 — MS. KELLY LEA DEFILLIPPO BSW
Practice Location Address:
1152 WOOD ST
CALIFORNIA, PA
15419-1260
Practice Phone: 724-938-2099
Practice Fax: 724-938-3221
1689657421 — MS. CYNTHIA MICHELLE LEE B.S.
Practice Location Address:
1152 WOOD ST
CALIFORNIA, PA
15419-1260
Practice Phone: 724-938-2099
Practice Fax: 724-938-3221

Directions to “CENTERVILLE CLINICS, INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.