Organization
CENTRA HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEWIS C ADDISON (SR VP CFO)
(434) 200-4708
Entity
Organization
Contact information
Practice address
1901 TATE SPRINGS RD, LYNCHBURG, VA 24501-1109
(434) 200-3777
Mailing address
PO BOX 2496, LYNCHBURG, VA 24505-2496
(434) 200-3777
Taxonomy
Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
Primary
N385PH
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000091
ANTHEM
—
05
—
004900219
—
VA
Enumeration date
08/23/2007
Last updated
05/25/2011
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