# CENTRA HEALTH PROFESSIONAL SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CENTRA HEALTH PROFESSIONAL SERVICES, LLC
- **Other names:** Virginia Baptist Hospital
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1144241795
- **Legal business name:** CENTRA HEALTH PROFESSIONAL SERVICES, LLC
- **Authorized official:** TAMMY TWEEDY (DIRECTOR)
- **Authorized official phone:** (434) 947-5047

## Contact information

- **Practice address:** 3300 RIVERMONT AVE, LYNCHBURG, VA 24503-2030
- **Practice address phone:** (434) 947-4000
- **Mailing address:** 1204 FENWICK DR, LYNCHBURG, VA 24502-2112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 03/04/2008