# CENTRA HEALTH INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CENTRA HEALTH INC
- **Other names:** Virginia Baptist Hospital and Guggenheimer
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1922102136
- **Legal business name:** CENTRA HEALTH INC
- **Authorized official:** LEWIS C ADDISON (SRVP CFO)
- **Authorized official phone:** (434) 947-4708

## Contact information

- **Practice address:** 3300 RIVERMONT AVE, 1902 GRACE ST, LYNCHBURG, VA 24503-2030
- **Practice address phone:** (434) 947-3777
- **Practice address fax:** (434) 947-4763
- **Mailing address:** PO BOX 2496, LYNCHBURG, VA 24505
- **Mailing address phone:** (434) 947-3777
- **Mailing address fax:** (434) 947-4763

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | NH2563 | VA | Yes |
| 314000000X | Skilled Nursing Facility | NH2563 | VA | — |

## Other

- **Enumeration date:** 09/08/2006
- **Last updated:** 08/30/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000344 | ANTHEM | VA |
| 05 | — | 004951123 | — | VA |
| 01 | — | 004960408 | MEDICAID SPECIALIZED CARE | VA |