Organization
BEDFORD MEMORIAL HOSPITAL
Active
Parent organization
CENTRA HEALTH INC
Other names
Bedford Hospice Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRA HEALTH INC
Authorized official
MR. LEWIS C ADDISON (SVP CFO)
(434) 200-4708
Entity
Organization
Contact information
Practice address
1621 WHITFIELD DR, SUITE C, BEDFORD, VA 24523-1519
(434) 200-1816
(434) 200-6638
Mailing address
1920 ATHERHOLT RD, LYNCHBURG, VA 24501-1104
(434) 200-1816
(434) 200-6638
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
EXEMPT
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004910435
—
VA
01
—
005
TRICARE
VA
01
—
147124
SOUTHERN HEALTH
VA
01
—
337476
ANTHEM
VA
Enumeration date
06/09/2014
Last updated
05/08/2015
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