Organization · Type 2 NPI
Centerville Clinics, Inc.
Federally Qualified Health Center (FQHC) · Connellsville, PA
NPI number
1790808962
Active
Practice location
601 South Arch Street
Connellsville, PA 15425
Fax (724) 626-2655
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...
About NPI 1790808962
Centerville Clinics, Inc.'s National Provider Identifier is 1790808962, issued on Apr 10, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Connellsville, PA. The record was last updated on Dec 2, 2020.