Centerville Clinics INC
Clinic/Center, Federally Qualified Health Center (FQHC) in Donora, PA. Organization (NPI-2).
NPI number1164064002
StatusActive
Last updated in NPPESSep 3, 2026
Details
- NPI
- 1164064002
- Entity type
- Organization (NPI-2)
- Legal business name
- Centerville Clinics INC
- Organization subpart
- No
- Enumeration date
- Oct 11, 2019
- Certification date
- Sep 3, 2026
- Last updated
- Sep 3, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
| 207Q00000X | Family Medicine | – | – |
Practice location
570 Galiffa DrDonora, PA 15033-1385
Phone 724-379-4401
Mailing address
1070 Old National PikeFredericktown, PA 15333-2114
Phone 724-632-6801 · Fax 724-632-6312
Authorized official
Barry R Niccolai
Executive Director
7246326801
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.