# CENTRA HEALTH PROFESSIONAL SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CENTRA HEALTH PROFESSIONAL SERVICES, LLC
- **Other names:** Centra Medical Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1811135593
- **Legal business name:** CENTRA HEALTH PROFESSIONAL SERVICES, LLC
- **Authorized official:** ARTHUR LEAVITT (DIRECTOR)
- **Authorized official phone:** (434) 200-3656

## Contact information

- **Practice address:** 404 AIRPORT DR, SUITE C, DANVILLE, VA 24540-5196
- **Practice address phone:** (434) 797-1383
- **Mailing address:** 1204 FENWICK DR, LYNCHBURG, VA 24502-2112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/03/2009
- **Last updated:** 09/13/2011