# CENTERVILLE CLINICS , INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336167154
- **Authorized official:** MRS. PATRICIA MARTOS (DIRECTOR FINANCE/PERSONNEL)
- **Authorized official phone:** (724) 632-6801

## Contact information

- **Practice address:** 1070 OLD NATIONAL PIKE, FREDERICKTOWN, PA 15333-2114
- **Practice address phone:** (724) 632-6801
- **Practice address fax:** (724) 632-6312
- **Mailing address:** 1070 OLD NATIONAL PIKE, FREDERICKTOWN, PA 15333-2114
- **Mailing address phone:** (724) 632-6801
- **Mailing address fax:** (724) 632-6312

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | — | NULL | — |
| 207K00000X | Allergy & Immunology Physician | — | — | — |
| 207N00000X | Dermatology Physician | — | NULL | — |
| 207N00000X | Dermatology Physician | — | — | — |
| 207RG0100X | Gastroenterology Physician | OS003143L | PA | — |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | — |
| 207RP1001X | Pulmonary Disease Physician | — | — | — |
| 207Y00000X | Otolaryngology Physician | — | NULL | — |
| 207Y00000X | Otolaryngology Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |

## Other

- **Enumeration date:** 07/18/2006
- **Last updated:** 06/11/2010