Organization · Type 2 NPI
Centerville Clinics, Inc.
Federally Qualified Health Center (FQHC) · Fairchance, PA
NPI number
1003037201
Active
Practice location
93 N Morgantown St
Fairchance, PA 15436-1039
Fax (724) 564-9835
Mailing address
1070 Old National Pike
Fredericktown, PA 15333-2114
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
2 other providers at this address
About NPI 1003037201
Centerville Clinics, Inc.'s National Provider Identifier is 1003037201, issued on May 2, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Fairchance, PA. The record was last updated on Oct 28, 2009.