Organization
CENTRA HEALTH INC
Active
Other names
Central Virginia Endoscopy
Organization subpart
No
Provider details
NPI number
Authorized official
LEWIS C ADDISON (SRVP CFO)
(434) 947-4708
Entity
Organization
Contact information
Practice address
121 NATIONWIDE DR, LYNCHBURG, VA 24502-4272
(434) 384-7704
Mailing address
PO BOX 2496, LYNCHBURG, VA 24505-2496
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
H1870
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
197566
ANTHEM
VA
Enumeration date
02/15/2007
Last updated
08/22/2020
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