Organization · Type 2 NPI
Centerville Clinics, Inc
Medical Physician Assistant · California, PA
NPI number
1053392852
Active
Practice location
1152 Wood St
California, PA 15419-1260
Mailing address
1070 Old National Pike
Fredericktown, PA 15333-2114
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Internal Medicine Physician | 207R00000X | None listed |
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
25 other providers at this address
- Centerville Clinics, Inc.Case Manager/Care Coordinator California, PA NPI 1013193713
- Centerville Clinics, Inc.Federally Qualified Health Center (FQHC) California, PA NPI 1649491887
- Amber Renee Rankin, B.A.Case Manager/Care Coordinator California, PA NPI 1588647184
- Bradley James NuckelsCase Manager/Care Coordinator California, PA NPI 1275517765
- Brean Rae Ewart Ellsworth, B.A.Case Manager/Care Coordinator California, PA NPI 1053395541
- Christopher M. AntoniniCase Manager/Care Coordinator California, PA NPI 1437389640
- Crystal Jean Tedrow, A.A.S.Case Manager/Care Coordinator California, PA NPI 1508849126
- Cynthia Michelle Lee, B.S.Case Manager/Care Coordinator California, PA NPI 1689657421
- Denise Rae HoltCase Manager/Care Coordinator California, PA NPI 1619950391
- Dennis M. Balogh Jr.Case Manager/Care Coordinator California, PA NPI 1801115308
- Erika Rae Robaugh, CRNPFamily Nurse Practitioner California, PA NPI 1437525987
- Jean Elaine Brown, B.S.Case Manager/Care Coordinator California, PA NPI 1699759043
About NPI 1053392852
Centerville Clinics, Inc's National Provider Identifier is 1053392852, issued on Nov 9, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in California, PA. The record was last updated on Sep 11, 2025.