Organization
CENTERVILLE CLINICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA MARTOS (DIRECTOR OF FINANCE/PERSONNEL)
(724) 632-6801
Entity
Organization
Contact information
Practice address
93 N MORGANTOWN ST, FAIRCHANCE, PA 15436-1039
(724) 564-0900
(724) 564-9835
Mailing address
1070 OLD NATIONAL PIKE, FREDERICKTOWN, PA 15333-2114
(724) 632-6801
(724) 632-6312
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007288440031
—
PA
Enumeration date
11/14/2005
Last updated
09/11/2025
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