Organization
CENTRA HEALTH INC
Active
Parent organization
CENTRA HEALTH INC
Other names
Virginia Baptist Hospital and Guggenheimer
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRA HEALTH INC
Authorized official
LEWIS C ADDISON (SRVP CFO)
(434) 947-4708
Entity
Organization
Contact information
Practice address
3300 RIVERMONT AVE, 1902 GRACE ST, LYNCHBURG, VA 24503-2030
(434) 947-3777
(434) 947-4763
Mailing address
PO BOX 2496, LYNCHBURG, VA 24505
(434) 947-3777
(434) 947-4763
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
NH2563
VA
314000000X
Skilled Nursing Facility
NH2563
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000344
ANTHEM
VA
05
—
004951123
—
VA
01
—
004960408
MEDICAID SPECIALIZED CARE
VA
Enumeration date
09/08/2006
Last updated
08/30/2012
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