Organization
CENTERVILLE CLINICS, INC.
Active
Organization
CENTERVILLE CLINICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY R NICCOLAI (CEO)
(724) 632-6801
Entity
Organization
Contact information
Practice address
9 CAMPBELL ST, AVELLA, PA 15312-2151
(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
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/07/2026
Last updated
07/30/2026
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