CENTRA HEALTH INC (NPI# 1629172838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629172838 |
| Entity Type | Organization |
| Organization Name | CENTRA HEALTH INC |
| Other Organization Name | BRIDGES TREATMENT CENTER |
| Practice Address |
693 Leesville Rd Lynchburg VA 24502 |
| Mailing Address |
Po Box 2496 Lynchburg VA 24505 |
| Practice Telephone | 4349473777 |
| Practice Fax Number | 4349474763 |
| Mailing Telephone | 4349473777 |
| Mailing Fax Number | 4349474763 |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LEWIS C ADDISON (SRVP/CFO) |
| Authorized Official Telephone | 4349474708 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 05214001 | VA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Bridges Treatment Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790882181 | Centra Health Inc | Physical Therapist | 1204 Fenwick Dr, Lynchburg, VA 24502-2112 | 2006-09-20 |
| 1013011220 | Centra Health Inc | Nursing Facility/Intermediate Care Facility | 1300 Enterprise Dr, Lynchburg, VA 24502 | 2006-09-08 |
| 1831293042 | Centra Health Inc | Skilled Nursing Facility | 173 Brockman Pk Dr, Amherst, VA 24521 | 2006-09-08 |
| 1740384957 | Centra Health Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1410 Kentmoor Farm Rd, Madison Heights, VA 24572 | 2006-09-08 |
| 1114021326 | Centra Health Inc | Rehabilitation, Substance Use Disorder Unit | 3300 Rivermont Avenue, Lynchburg, VA 24505 | 2006-09-08 |
| 1205357506 | Centra Health Inc | Internal Medicine | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2017-06-28 |
| 1578738225 | Centra Health Inc | Durable Medical Equipment & Medical Supplies | 1701 Thomson Dr, Lynchburg, VA 24501-1118 | 2008-04-24 |
| 1366635328 | Centra Health Inc | Ambulance | 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 | 2007-08-23 |
| 1669591178 | Centra Health Inc | Skilled Nursing Facility | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2007-03-28 |
| 1659414787 | Centra Health Inc | Clinic/Center | 121 Nationwide Dr, Lynchburg, VA 24502-4272 | 2007-02-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Centra Health Inc. | 1920 Atherholt Rd, Lynchburg, Virginia 24501 |
| Street Address |
693 LEESVILLE RD |
| City | LYNCHBURG |
| State | VA |
| Zip Code | 24502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215938972 | Ellis M. Karr | Social Worker | 693 Leesville Rd, Lynchburg, VA 24502-2828 | 2005-08-03 |
| 1376144931 | Nelly Addo | Behavior Technician | 693 Leesville Rd, Lynchburg, VA 24502-2828 | 2020-11-02 |
| 1366057531 | Margaret Rose Hybl | Behavior Technician | 693 Leesville Rd, Lynchburg, VA 24502-2828 | 2020-09-14 |
| 1427662261 | Samantha Clingenpeel | Behavior Technician | 693 Leesville Rd, Lynchburg, VA 24502-2828 | 2020-08-31 |
| 1952915712 | Jessica Stinnett Cunningham | Behavior Technician | 693 Leesville Rd, Lynchburg, VA 24502-2828 | 2020-08-31 |
| 1346850948 | Nikki Rice | Behavior Technician | 693 Leesville Rd, Lynchburg, VA 24502-2828 | 2020-08-07 |
| 1912516642 | Stephannie Malone | Behavior Technician | 693 Leesville Rd, Lynchburg, VA 24502-2828 | 2020-07-29 |
| 1265041552 | Jeffrey Emmett Mccurry | Behavior Technician | 693 Leesville Rd, Lynchburg, VA 24502-2828 | 2020-07-23 |
| 1164044863 | Amanda Mae Dinkle | Behavior Technician | 693 Leesville Rd, Lynchburg, VA 24502-2828 | 2020-05-15 |
| 1366063026 | Heather Ware | Behavioral Analyst | 693 Leesville Rd, Lynchburg, VA 24502-2828 | 2020-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811523038 | Vivian Tran | Student in an Organized Health Care Education/Training Program | Liberty University College of Osteopathic Medicine, 306 Liberty View Ln, Lynchburg, VA 24502 | 2020-03-19 |
| 1669005468 | Beth Elaine Hammond | Nurse Practitioner | 132 Frederick Drive, Lynchburg, VA 24502 | 2020-02-20 |
| 1225672348 | Pearlren-aye Elizabeth Taylor | Case Management | 542 Leesville Rd, Apt 127, Lynchburg, VA 24502 | 2019-10-31 |
| 1821553868 | Shavonne D Joyner | Behavioral Analyst | 18697 Forest Road, Lynchburg, VA 24502 | 2019-02-04 |
| 1043794415 | Robert Patrick Thomas | Private Vehicle | 44 Point Drive, Apt 30, Lynchburg, VA 24502 | 2018-09-20 |
| 1023503521 | Ptc Wellness Centers PC | Family Medicine | 2832 Candlers Mtn Rd, Lynchburg, VA 24502 | 2018-06-27 |
| 1548750722 | Raymond W Andrews IIi | Speech-Language Pathologist | 3101 Wards Ferry Road, Lynchburg, VA 24502 | 2018-05-14 |
| 1932697596 | Barbara J Frost | Nurse Practitioner | 906 Westview Dr, Lynchburg, VA 24502 | 2018-04-28 |
| 1619476983 | Benjamin Aaron Galley | Specialist/Technologist | 1971 University Blvd., Lynchburg, VA 24502 | 2018-02-01 |
| 1477076180 | Candice Cage | Home Health | 1002 Wexford Place, Lynchburg, VA 24502 | 2017-07-25 |
| Find all providers in zip 24502 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477705176 | Reaves-diggs, Parham & Associates, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 147 Mill Ridge Rd Ste 203, Lynchburg, VA 24502-4341 | 2008-10-14 |
| 1255414553 | Reaves-diggs, Parham & Associates | Residential Treatment Facility, Emotionally Disturbed Children | 1620 Grace St, Lynchburg, VA 24504-3214 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336619667 | The Discovery School of Virginia, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 2697 Copper Mine Road, Dillwyn, VA 23936-2393 | 2018-11-29 |
| 1184102188 | Limitless Growth | Residential Treatment Facility, Emotionally Disturbed Children | 115 Reese Dr, Danville, VA 24540-1185 | 2018-08-01 |
| 1871099721 | Imagination LLC | Residential Treatment Facility, Emotionally Disturbed Children | 318 N Wilkinson Rd, Richmond, VA 23227-1631 | 2018-03-31 |
| 1245698935 | Summer House | Residential Treatment Facility, Emotionally Disturbed Children | 16056 Elderly Ln, Timberville, VA 22853-2922 | 2016-02-09 |
| 1194105346 | Tamara Doud | Residential Treatment Facility, Emotionally Disturbed Children | 165 Motoka Dr Apt 1, Newport News, VA 23602-4053 | 2015-06-03 |
| 1679953871 | Just Understanding My Priorities | Residential Treatment Facility, Emotionally Disturbed Children | 7109 Barry Rd, Alexandria, VA 22315-3408 | 2015-06-02 |
| 1538507983 | Alc Youth & Family Services, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 14200 Kentwood Forest Dr, Chester, VA 23831-8029 | 2013-06-07 |
| 1366790107 | Hamlet House Youth Services, IIi LLC | Residential Treatment Facility, Emotionally Disturbed Children | 206 Carlstone Dr, Highland Springs, VA 23075-2503 | 2012-08-28 |
| 1417214149 | Turning Point Home for Boys, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 4701 Stonehurst Dr, Woodbridge, VA 22192-5727 | 2012-04-19 |
| 1699046094 | Intercept Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 410 Adkins Rd, North Chesterfield, VA 23236-2833 | 2012-01-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.