# CENTRA MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Centra Danville Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790552172
- **Authorized official:** SONYA R TURNER (SR. DIRECTOR REV CYCLE)
- **Authorized official phone:** (434) 200-6942

## Contact information

- **Practice address:** 414 PARK AVE, DANVILLE, VA 24541-4630
- **Practice address phone:** (434) 857-3600
- **Practice address fax:** (434) 857-3601
- **Mailing address:** PO BOX 829829, PHILADELPHIA, PA 19182-9829

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/06/2023
- **Last updated:** 12/06/2023