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Organization Active NPI

Centra Health Inc

  • Psychiatric Hospital Unit
  • Lynchburg, VA
National Provider Identifier
1023112331
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
H1911 Issued in VA
Legal business name
CENTRA HEALTH INC
Practice address
3300 Rivermont Ave
Lynchburg, VA 24503-2030
Phone
(434) 947-3777
Fax
(434) 947-4763
NPI assigned
Sep 8, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Lewis C Addison
Title
SRVP/Cfo
Phone
(434) 947-4708

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Facilities connected through Provider of Services related, parent or unit certification numbers.

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160204002451 VA Part a Provider - Hospital 6002719713 Practice locations: Lynchburg, VA

Hospital certification: CCN 49S021

Medicare enrollment files
Legal name
CENTRA HEALTH, INC
Organization structure
CorporationNon-profit
Incorporated
Mar 29, 1963 in VA
Enrollment address
3300 Rivermont Ave
Lynchburg, VA 24503-2030
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

All disclosed owners & managing parties 18

Medicare enrollment files

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
John Fees Individual Corporate DirectorBoard Member Jan 1, 2023
Robert Tonkinson Individual Corporate OfficerCfo Jan 1, 2025
Gloria Witt Individual Corporate DirectorBoard Member Jan 1, 2023
Pamela S Bradford Individual Corporate Director Jan 1, 2025
Todd Irby Individual Corporate Director Jan 1, 2018
Peter a Caprise Individual Corporate Director Oct 19, 2018
Cynthia D Gunnoe Individual Corporate DirectorBoard Member Jan 1, 2023
Gary Mignogna Individual Corporate Director Jan 1, 2022
Kemper Beasley Individual Corporate Director Jan 1, 2022
Richard J Tugman Individual Corporate OfficerCeo Jan 1, 2025
Bonnie Svrcek Individual Corporate Director Jan 1, 2022
Clinton S Beverly Individual Corporate Director Jan 1, 2022
Cameron Patterson Individual Corporate Director Jan 1, 2025
Amy Gallagher Individual Corporate Director Jan 1, 2024
Thomas Nygaard Individual Corporate Officer Jan 1, 2022
Geeta Rakheram Individual Corporate Director Jan 1, 2022
Timothy Fritz Individual W-2 Managing EmployeeController May 1, 2019
Rosana Chaidez Individual Corporate Director Jan 1, 2026

All facility ownership & control disclosures 5

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Centra Home HealthFarmville, VA, CCN 497055 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2025
Centra Home HealthLynchburg, VA, CCN 497278 Home health agency 5% Or Greater Direct Ownership Interest (100%) Apr 21, 2017
Centra Health, Inc Hospice of the HillsLynchburg, VA, CCN 491519 Hospice 5% Or Greater Direct Ownership Interest (100%) Apr 25, 2017
VA Baptist Lynchburg General HospitalDanville, VA, CCN 498954 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 18, 2005
Centra Medical Group BrooknealBrookneal, VA, CCN 493880 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 18, 2005

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X H1911 VA Primary

Addresses

NPPES NPI Registry

Primary practice location

3300 Rivermont Ave
Lynchburg, VA 24503-2030

Mailing address

PO Box 2496
Lynchburg, VA 24505-2496
Phone (434) 947-3777

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
000091OtherVAANTHEM

Other names 1

NPPES NPI Registry
  • Virginia Baptist Hosp Acute Psych Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023112331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2496",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245052496",
            "telephone_number": "434-947-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 RIVERMONT AVE",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245032030",
            "telephone_number": "434-947-3777",
            "fax_number": "434-947-4763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRA HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ADDISON",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SRVP/CFO",
        "authorized_official_telephone_number": "434-947-4708"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "VA",
            "license": "H1911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000091",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Virginia Baptist Hosp Acute Psych",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.