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Contact Information

CENTRA HEALTH INC
3300 RIVERMONT AVE
1902 GRACE ST
LYNCHBURG, VA24503-2030
 Phone: 434-947-3777
 Fax: 434-947-4763
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
 

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for CENTRA HEALTH INC

NPI # 1922102136
LBN Legal business name CENTRA HEALTH INC
Authorized official LEWIS ADDISON - (SRVP CFO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 09/08/2006
Last updated 08/30/2012 - About 14 years ago
Identifiers
VA License # NH2563
VA Medicaid 004951123
VA Other 000344 ANTHEM
VA Other 004960408 MEDICAID SPECIALIZED CARE
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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