Centerville Clinics Inc | |
Trinity West Elementary School 1041 Gabby Ave Washington PA 15301-5913 | |
(724) 222-4730 | |
Not Available |
Full Name | Centerville Clinics Inc |
---|---|
Speciality | Social Worker - School |
Location | Trinity West Elementary School, Washington, Pennsylvania |
Authorized Official Name and Position | Barry Niccolai (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 7246326801 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Centerville Clinics Inc 1070 Old National Pike Centerville Clinics Inc Fredericktown PA 15333-2114 Ph: (724) 632-6801 | Centerville Clinics Inc Trinity West Elementary School 1041 Gabby Ave Washington PA 15301-5913 Ph: (724) 222-4730 |
NPI Number | 1225536444 |
---|---|
Provider Enumeration Date | 01/23/2018 |
Last Update Date | 08/24/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225536444 | NPI | - | NPPES |
1007288440027 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041S0200X | Social Worker - School | (Pennsylvania) | Primary |
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