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Contact Information

CENTRA HEALTH, INC.
1331 OAK LN
LYNCHBURG, VA24503-2501
 Phone: 434-200-2422
 Fax: 434-384-3168
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CENTRA HEALTH, INC.

NPI # 1568722072
LBN Legal business name CENTRA HEALTH, INC.
Authorized official TABITHA CULBERTSON - (HOSPITAL PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/18/2012
Last updated 05/26/2023 - About 3 years ago
Identifiers
VA License # 0201004455
VA Medicaid 1568722072
Other 4843822 NCPDP PROVIDER IDENTIFICATION NUMBER
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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