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Organization

CENTERVILLE CLINICS, INC.

Active
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Organization

CENTERVILLE CLINICS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. PATRICIA MARTOS (DIRECTOR PERSONNEL/FINANCE)
(724) 632-6801
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
032094
HIGHMARK
PA
05
—
1007288440027
—
PA
Enumeration date
11/11/2005
Last updated
04/17/2008
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