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Contact Information

CENTRA MEDICAL GROUP, LLC
1701 THOMSON DRIVE
LYNCHBURG, VA24501
 Phone: 434-200-5925
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for CENTRA MEDICAL GROUP, LLC

NPI Number 1700293628
LBN Legal business name CENTRA MEDICAL GROUP, LLC
Authorized official LEWIS ADDISON - (SR VP CFO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/14/2014
Last updated 07/14/2014 - About 12 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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