NPIMap

Organization Active NPI

Centra Health Inc

Doing business as Virginia Baptist Hosp Acute Rehab

  • Rehabilitation Hospital Unit
  • Lynchburg, VA
National Provider Identifier
1932203247
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
H1911 Issued in VA
Legal business name
CENTRA HEALTH INC
Doing business as
Virginia Baptist Hosp Acute Rehab
Practice address
3300 Rivermont Ave
Lynchburg, VA 24503-2030
Phone
(434) 947-3777
Fax
(434) 947-4763
NPI assigned
Sep 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X H1911 VA Primary

Addresses

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

IdentifierTypeStateIssuer
000091OtherVAANTHEM

Other names 1

  • Virginia Baptist Hosp Acute Rehab Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160204002496 VA Part A Provider - Hospital 6002719713 Practice locations: Lynchburg, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1932203247. Details of each certification follow.

Hospital certification: CCN 49T021

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 Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

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

Other NPIs with the same Medicare PAC ID 5

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

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Virginia Baptist HospitalCCN 49T021 · All quality measures
Ownership
Non-profit
Certified
Oct 1, 1986

National Provider Directory

National Provider Directory
Tax ID family
Centra Lab37 organizations share this tax ID, including this one

Other organizations with this tax ID 36

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

View all 36

Locations

2310 Langhorne Rd
Lynchburg, VA 24501

Ownership & related parties

All disclosed owners & managing parties 18

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

Owners & managing parties with NPI records 3

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

All facility ownership & control disclosures 5

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

Owned or controlled facilities with NPI records 5

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

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

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": "1598054400000",
    "number": "1932203247",
    "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",
            "fax_number": "434-947-4763"
        },
        {
            "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": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation 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 Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.