OrganizationActive
Centerville Clinics, Inc.
NPI 1790808962 · Federally Qualified Health Center (FQHC) · Connellsville, PA
Provider details
- NPI number
- 1790808962
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Barry Niccolai, Executive Director(724) 632-6801
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
601 South Arch Street
Connellsville, PA 15425
Phone: (724) 626-2630
Fax: (724) 626-2655
Approximate (ZIP-level) locationGet directions
Mailing address
1070 Old National Pike
Fredericktown, PA 15333-2114
Registry dates
- Enumerated
- 2007-04-10
- Last updated
- 2020-12-02
- Certified
- 2020-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.