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Centra Health Professional Services

Organization Active NPI Family Medicine Physician · Lynchburg, VA

NPI 1629009147 · NPPES record last updated Mar 4, 2008

Key facts

NPI
1629009147
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
CENTRA HEALTH PROFESSIONAL SERVICES
Practice address
3300 Rivermont Ave
Lynchburg, VA 24503-2030
Phone
(434) 947-3656
NPI assigned
Jul 5, 2006
Organization subpart
Yes
Parent organization (as reported)
CENTRA HEALTH PROFESSIONAL SERVICES, LLC

Authorized official

Name
Tammy Tweedy
Title
Director
Phone
(434) 947-5047

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

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

National Provider Directory

Tax ID family
Centra Health Professional Services (106 organizations share this tax ID)
Part of
Centra Health Professional Services

Locations

1280A Main St
Altavista, VA 24517
Phone (434) 309-1165

4038 Thomas Nelson Hwy
Arrington, VA 22922
Phone (434) 263-4000

1613 Oakwood St
Ste 202
Bedford, VA 24523

404 Airport Dr
Ste C
Danville, VA 24540
Phone (434) 517-3100

2542 Langhorne Rd
Lynchburg, VA 24501
Phone (434) 200-5297

121 Nationwide Dr
Ste A
Lynchburg, VA 24502
Phone (434) 384-1862

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X Yes

Addresses

Primary practice location

3300 Rivermont Ave
Lynchburg, VA 24503-2030

Mailing address

1204 Fenwick Dr
Lynchburg, VA 24502-2112

Other names

  • Centra Consultative Services Doing business as

Other providers in Lynchburg, VA

All providers in Lynchburg, VA · Family Medicine Physician in Virginia

Sources for this page

Verify at the official NPI Registry.