340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CH03170P CENTERVILLE CLINIC INC (Active)
Print
Main Details
Name
CENTERVILLE CLINIC INC
Subdivision Name
Donora Family Medicine
Type
HRSA-Funded Health Center
Site ID
BPS-H80-029658
340B ID
CH03170P
Grant Number
H80CS00705
Additional Details
Current Program Status
Active
Registration Date
4/6/2020
Participating Start Date
7/1/2020
Participating Approval Date
4/22/2020
Last Recertification Date
2/20/2025
Contacts
Authorizing Official
Centerville Clinics, Inc
Barry R Niccolai, Executive Director
(724) 632-6801 Ext: 1100
Primary Contact
Centerville Clinics, Inc.
Brenda Workman, Administrative Assistant
(724) 632-6801 Ext: 1100
Addresses
Street Address
718 Mckean Ave
Donora, PA 15033-1061
Billing Address
Centerville Clinics Inc
1070 Old National Pike Road
Fredericktown, PA 15333
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session