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Organization

CENTRA HEALTH INC

Active
Other names
Physical and Occupational Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
LEWIS C ADDISON (SRVP/CFO)
(434) 947-4708
Entity
Organization

Contact information

Practice address
1204 FENWICK DR, LYNCHBURG, VA 24502-2112
(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
235Z00000X
Speech-Language Pathologist
Primary
H1911
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
189959
ANTHEM
VA
01
189963
ANTHEM
VA
01
189972
ANTHEM
VA
01
189990
ANTHEM
VA
Enumeration date
09/26/2006
Last updated
08/22/2020
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