CENTERVILLE CLINICS, INC
NPI 1053392852
Family Medicine in Fredericktown,


Quality Rating: 100 out of 100 score

NPI Status: Active since November 9, 2005

Contact Information

1070 Old National Pike
Fredericktown,
Post Code: 15333
Phone: (724) 632-6801
Fax: (724) 632-6312

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Centerville Clinics, Inc in Fredericktown - Family Medicine

Centerville Clinics, Inc is a Family Medicine in Fredericktown, . Centerville Clinics, Inc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Centerville Clinics, Inc is 1053392852. The last update date is 2020-08-22.

Centerville Clinics, Inc's current location address is 1070 Old National Pike, Fredericktown, . You can contact this provider via phone number (724) 632-6801 and fax number (724) 632-6312. The mailing address for Centerville Clinics, Inc is 1070 Old National Pike, Fredericktown, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1053392852
Provider Legal Name
CENTERVILLE CLINICS, INC
Other Organization Name
CENTERVILLE CLINICS, INC
Other Name Type
-
Entity Type
Organization
Location Address
1070 Old National Pike, Fredericktown,
Location Phone
(724) 632-6801
Location Fax
(724) 632-6312
Mailing Address
1152 Wood St, California, Pennsylvania(PA)
Mailing Phone
724-938-2122
Mailing Fax
-
Enumeration Date
2005-11-09
Last Update Date
2020-08-22
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 207Q00000X Family Medicine Physician

Family Medicine

()
2 207R00000X Internal Medicine Physician

Internal Medicine

()
3 363AM0700X Medical Physician Assistant

Physician Assistant, Medical

()

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1007288440029 MEDICAID (05) Pennsylvania (PA)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1053392852
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20103694810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 20103694810
2 + 0 + 1 + 0 + 3 + 6 + 9 + 4 + 8 + 1 + 0 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 2 2

The NPI number 1053392852 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1053392605 WILLIAM C PIEPGRASS
Individual
Surgery 804 GRANDVIEW DR STE 2
EPHRATA, Pennsylvania (PA)
717-466-2500
1053392472 TESSA GOMEZ
Individual
Internal Medicine, Infectious Disease 10 UNION SQ E
NEW YORK, New York (NY)
212-844-5716
1053392373 TIFFANY D REABOLD
Individual
Nurse Practitioner 601 MEMORY LN
YORK, Pennsylvania (PA)
717-851-1405
1053392274 DAVID MICHAEL ROSSWOG
Individual
Counselor, Professional 1330 W 26TH ST
ERIE, Pennsylvania (PA)
814-451-2317
1053392225 DARRELL W. PETZ
Individual
Internal Medicine 1621 UNION AVE
NATRONA HEIGHTS, Pennsylvania (PA)
724-224-6700