Organization
CENTRA HEALTH INC
Active
Other names
Virginia Baptist Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
LEWIS C ADDISON (CFO)
(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
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
H1911
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000091
ANTHEM
VA
05
—
004900219
—
VA
Enumeration date
09/08/2006
Last updated
04/06/2011
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