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General NPI Number Information
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NPI Number | 1770693939
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Entity Type | Organization
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Legal Business Name | CENTRA HEALTH INC
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 3300 RIVERMONT AVE
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City | LYNCHBURG
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State | VA
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Zip | 24503-2030
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Country | US
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Telephone | 434-200-3777
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Fax | 434-200-4763
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Provider Business Mailing Address
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Address Line | PO BOX 2496
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City | LYNCHBURG
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State | VA
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Zip | 24505-2496
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Country | US
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Telephone | 434-200-3777
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | LEWIS C ADDISON
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Credential |
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Telephone | 434-200-4708
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416A0800X
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Taxonomy Name | Air Ambulance
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License Number | 456
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | H1911
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License Number State | VA
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