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CH03170R Centerville Clinics, Incorporated (Active)
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Main Details
Name
Centerville Clinics, Incorporated
Subdivision Name
Connellsville Medical and Dental Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-031781
340B ID
CH03170R
Grant Number
H80CS00705
Additional Details
Current Program Status
Active
Registration Date
10/15/2021
Participating Start Date
1/1/2022
Participating Approval Date
10/19/2021
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
601 S Arch St
Connellsville, PA 15425-4000
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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