Organization
CENTRA PACE
Active
Parent organization
CENTRA HEALTH
Other names
Centra PACE
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRA HEALTH
Authorized official
MR. GEORGE C GRAHAM MBA (EXECUTIVE DIRECTOR)
(434) 200-6516
Entity
Organization
Contact information
Practice address
407 FEDERAL ST, LYNCHBURG, VA 24504-2423
(434) 200-4190
(434) 200-6263
Mailing address
407 FEDERAL ST, LYNCHBURG, VA 24504-2423
(434) 200-4190
(434) 200-6263
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
VA
Other
Enumeration date
12/16/2008
Last updated
06/16/2014
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