# CENTRA HEALTH, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Virginia Baptist Hospital Post Acute Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568722072
- **Authorized official:** TABITHA CULBERTSON (HOSPITAL PRESIDENT)
- **Authorized official phone:** (434) 200-3014

## Contact information

- **Practice address:** 1331 OAK LN, LYNCHBURG, VA 24503-2501
- **Practice address phone:** (434) 200-2422
- **Practice address fax:** (434) 384-3168
- **Mailing address:** 1331 OAK LN, LYNCHBURG, VA 24503-2501
- **Mailing address phone:** (434) 200-2422
- **Mailing address fax:** (434) 384-3168

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336I0012X | Institutional Pharmacy | 0201004455 | VA | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 05/18/2012
- **Last updated:** 05/26/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1568722072 | — | VA |
| 01 | — | 4843822 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |