Centerville Clinics INC
NPI #1164064002 in Donora, Pennsylvania
Provider Information
- NPI Number
- 1164064002
- Entity Type
- Organization
- Organization Name
- Centerville Clinics INC
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Oct 11, 2019
- Last Updated
- Oct 11, 2019
Practice Location
- Address
- CENTERVILLE CLINICS-DONORA FAMILY MEDICINE
- Address 2
- 718 MCKEAN AVENUE
- City
- Donora
- State
- Pennsylvania
- ZIP Code
- 15033-1061
- Phone
- (724) 379-4401
Authorized Official
- Name
- MR. BARRY R NICCOLAI
- Title
- EXECUTIVE DIRECTOR
- Phone
- (724) 632-6801
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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