CENTRA HEALTH INC; NPI #1366635328

Contact Information

CENTRA HEALTH INC

1901 TATE SPRINGS RD
LYNCHBURG, VA 24501-1109

Phone: 434-200-3777
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Air Transport	3416A0800X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for CENTRA HEALTH INC

NPI Number 1366635328

LBN Legal business name CENTRA HEALTH INC

Authorized official LEWIS ADDISON - (SR VP CFO)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/23/2007

Last updated 05/25/2011 - About 15 years ago

Identifiers

VA	License #	N385PH
VA	Medicaid	004900219
	Other	000091	ANTHEM

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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