# CENTRA HEALTH INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** VA Bapt Hosp Skilled Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669591178
- **Authorized official:** LEWIS C ADDISON (SRVPCFO)
- **Authorized official phone:** (434) 947-4708

## Contact information

- **Practice address:** 3300 RIVERMONT AVE, LYNCHBURG, VA 24503-2030
- **Practice address phone:** (434) 947-3777
- **Practice address fax:** (434) 947-4763
- **Mailing address:** PO BOX 2496, LYNCHBURG, VA 24505-2496
- **Mailing address phone:** (434) 947-3777
- **Mailing address fax:** (434) 947-4763

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | H1911 | VA | Yes |

## Other

- **Enumeration date:** 03/28/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 04960408 | — | VA |