Organization
CENTRA MEDICAL GROUP, LLC
Active
Parent organization
CENTRA MEDICAL GROUP, LLC
Other names
Centra Health Medical Center-Gretna RHC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRA MEDICAL GROUP, LLC
Authorized official
JOSEPH KOONS (MANAGING DIRECTOR REVENUE CYCLE)
(434) 200-5047
Entity
Organization
Contact information
Practice address
291 MCBRIDE LN, GRETNA, VA 24557-2773
(434) 656-1274
Mailing address
2010 ATHERHOLT RD, LYNCHBURG, VA 24501-1106
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/19/2007
Last updated
11/17/2015
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