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CENTERVILLE CLINICS INC

Allergy

Fredericktown, Pennsylvania

Provider NPI: 1184605438

Organization Information:
Organization Name:  CENTERVILLE CLINICS INC


Practice Location:
1070 OLD NATIONAL PIKE  FREDERICKTOWN, PA 15333 US
Tel: 724-632-6801  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N124Q00000XDental Providers
Dental Hygienist
N2084P0800XPhysicians
Psychiatry & Neurology
N104100000XBehavioral Health & Social Service Providers
Social Worker
N103T00000XBehavioral Health & Social Service Providers
Psychologist
N207KA0200XPhysicians
Allergy & Immunology
N207N00000XPhysicians
Dermatology
N207R00000XPhysicians
Internal Medicine
N207W00000XPhysicians
Ophthalmology
N208100000XPhysicians
Physical Medicine & Rehabilitation
N208600000XPhysicians
Surgery
N208800000XPhysicians
Urology
N213E00000XPodiatric Medicine & Surgery Service Providers
Podiatrist
N363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Y207Q00000XPhysicians
Family Medicine

Other Provider Identifiers:

IssuerNumberStateType
HGSA MEDICARE032094PA01
HGSA MEDICARE026902PA01
HGSA MEDICARE031395PA01
HGSA MEDICARE030163PA01
1007288440027PA05
HGSA MEDICARE031221PA01
HGSA MEDICARE032095PA01
HGSA MEDICARE031218PA01
HGSA MEDICARE031216PA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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