Organization
CENTRA HEALTH INC
Active
Other names
VA Bapt Hosp Skilled Care
Organization subpart
No
Provider details
NPI number
Authorized official
LEWIS C ADDISON (SRVPCFO)
(434) 947-4708
Entity
Organization
Contact information
Practice address
3300 RIVERMONT AVE, LYNCHBURG, VA 24503-2030
(434) 947-3777
(434) 947-4763
Mailing address
PO BOX 2496, LYNCHBURG, VA 24505-2496
(434) 947-3777
(434) 947-4763
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
H1911
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04960408
—
VA
Enumeration date
03/28/2007
Last updated
08/22/2020
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