CENTRA HEALTH INC (NPI# 1659414787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659414787 |
Entity Type | Organization |
Organization Name | CENTRA HEALTH INC |
Other Organization Name | CENTRAL VIRGINIA ENDOSCOPY |
Practice Address |
121 Nationwide Dr Lynchburg VA 24502-4272 |
Mailing Address |
Po Box 2496 Lynchburg VA 24505-2496 |
Practice Telephone | 4343847704 |
Enumeration Date | 2007-02-15 |
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 | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
H1870 | VA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | ANTHEM | 197566 | 01 |
Other Name | Type Code |
---|---|
Central Virginia Endoscopy | Other Name - Individual/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 |
1376619254 | Centra Health Inc | Radiology | 1900 Tate Springs Rd, Lynchburg, VA 24501-1122 | 2006-11-24 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Virginia Business Entities | Centra Health Inc. | 1920 Atherholt Rd, Lynchburg, Virginia 24501 |
Street Address |
121 NATIONWIDE DR |
City | LYNCHBURG |
State | VA |
Zip Code | 24502-4272 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467442442 | James R Curtiss | Internal Medicine | 121 Nationwide Dr, Lynchburg, VA 24502-4272 | 2005-10-21 |
1598207359 | Katherine Pence | Physician Assistant | 121 Nationwide Dr, Lynchburg, VA 24502-4272 | 2016-11-10 |
1366801136 | Christy Manspile | Nurse Practitioner | 121 Nationwide Dr, Suite A, Lynchburg, VA 24502-4272 | 2016-02-22 |
1417382433 | Allison Robertson | Nurse Practitioner | 121 Nationwide Dr, Suite A, Lynchburg, VA 24502-4272 | 2013-09-10 |
1821340035 | Julia M Smith | Nurse Practitioner | 121 Nationwide Dr, Suite A, Lynchburg, VA 24502-4272 | 2012-10-11 |
1194099374 | Shirley M Hudson | Nurse Practitioner | 121 Nationwide Dr, Suite A, Lynchburg, VA 24502-4272 | 2012-03-06 |
1992009153 | Catherine Lynn Williams | Registered Nurse | 121 Nationwide Dr, Suite A, Lynchburg, VA 24502-4272 | 2011-01-03 |
1700960226 | Lisa M Smith | Nurse Practitioner | 121 Nationwide Dr, Suite A, Lynchburg, VA 24502-4272 | 2006-10-24 |
1588748016 | Gastroenterology Assoc of Central Virginia Inc | Internal Medicine | 121 Nationwide Dr, Lynchburg, VA 24502-4272 | 2006-10-24 |
1013005263 | Amy Leigh Stowers | Nurse Practitioner | 121 Nationwide Dr, Suite A, Lynchburg, VA 24502-4272 | 2006-10-11 |
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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 | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780916205 | Gastroenterology Asscoaites of Central Va Ambulatory Health Care | Clinic/Center | 121 Nationwide Dr Ste B, Lynchburg, VA 24502-4272 | 2010-02-09 |
1598797714 | Surgery Center of Lynchburg LLC | Clinic/Center | 2401 Atherholt Rd, Lynchburg, VA 24501 | 2006-07-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841815412 | Orthopaedic Surgery & Sports Med Specialist of Hampton Rds PC | Clinic/Center | 580 City Center Blvd, Newport News, VA 23606 | 2020-06-10 |
1093344210 | Virginia Womens Center for Aesthetics | Clinic/Center | 19490 Sandridge Way Ste 360, Leesburg, VA 20176-3467 | 2020-04-08 |
1306486634 | Fredericksburg Endoscopy Center, LLC | Clinic/Center | 1211 Central Park Blvd, Fredericksburg, VA 22401-4912 | 2020-01-15 |
1063058303 | Chesapeake Regional Surgery Center At Virginia Beach, LLC | Clinic/Center | 229 Clearfield Ave Ste 200, Virginia Beach, VA 23462-1815 | 2019-11-21 |
1154986347 | Center for Visual Surgical Excellence, LLC | Clinic/Center | 208 Carmichael Way, Chesapeake, VA 23322 | 2019-05-03 |
1720543481 | Surgical Suites of Coastal Virginia, LLC | Clinic/Center | 400 Sentara Cir Ste 200, Williamsburg, VA 23188-5716 | 2019-02-07 |
1962980045 | New Womens Health Charlottesville | Clinic/Center | 2050 Abbey Rd Ste D, Charlottesville, VA 22911-3553 | 2018-08-01 |
1518450790 | Virginia Ent Surgery Center Inc | Clinic/Center | 6600 W Broad St Ste 210, Richmond, VA 23230-1709 | 2018-06-12 |
1336649714 | Healthqare Services Asc LLC | Clinic/Center | 1005 N Glebe Rd Ste 200, Arlington, VA 22201-5792 | 2018-02-13 |
1104349489 | Valley Health Surgery Center, LLC | Clinic/Center | 174 Botanical Boulevard, Winchester, VA 22603 | 2017-07-19 |
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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.