Organization
CENTERVILLE CLINICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA MARTOS (DIRECTOR PERSONNEL AND FINANCE)
(724) 632-6801
Entity
Organization
Contact information
Practice address
27 HIGHLAND AVE, WASHINGTON, PA 15301-4061
(724) 223-1067
(724) 228-8421
Mailing address
1070 OLD NATIONAL PIKE, FREDERICKTOWN, PA 15333-2114
(724) 632-6801
(724) 632-6312
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007288440089
—
PA
Enumeration date
02/11/2008
Last updated
12/20/2012
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