NPIMap

Organization Active NPI

Centra Health Inc

  • Nursing Facility/Intermediate Care Facility
  • Lynchburg, VA
National Provider Identifier
1922102136
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
NH2563 Issued in VA
Legal business name
CENTRA HEALTH INC
Practice address
3300 Rivermont Ave
1902 Grace St
Lynchburg, VA 24503-2030
Phone
(434) 947-3777
Fax
(434) 947-4763
NPI assigned
Sep 8, 2006
Organization subpart
Yes
Parent organization
CENTRA HEALTH INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lewis C Addison
Title
SRVP Cfo
Phone
(434) 947-4708

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X NH2563 VA Primary
Skilled Nursing Facility 314000000X NH2563 VA

Addresses

Primary practice location

3300 Rivermont Ave
1902 Grace St
Lynchburg, VA 24503-2030

Mailing address

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

Other identifiers 3

IdentifierTypeStateIssuer
004960408OtherVAMEDICAID SPECIALIZED CARE
000344OtherVAANTHEM
004951123MedicaidVA

Other names 1

  • Virginia Baptist Hospital and Guggenheimer Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Centra Health Inc Ta L37 organizations share this tax ID, including this one
Part of
Centra Health Inc Ta L

Other organizations with this tax ID 36

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

View all 36

Locations

3300 Rivermont Ave
#1902
Lynchburg, VA 24503
Phone (434) 947-3777

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346284800000",
    "number": "1922102136",
    "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": "24505",
            "telephone_number": "434-947-3777",
            "fax_number": "434-947-4763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 RIVERMONT AVE",
            "address_2": "1902 GRACE ST",
            "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": "YES",
        "parent_organization_legal_business_name": "CENTRA HEALTH INC",
        "enumeration_date": "2006-09-08",
        "last_updated": "2012-08-30",
        "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": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "VA",
            "license": "NH2563",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VA",
            "license": "NH2563",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID SPECIALIZED CARE",
            "identifier": "004960408",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000344",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004951123",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Virginia Baptist Hospital and Guggenheimer",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.