CENTRA HEALTH INC (NPI# 1538263744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538263744 |
| Entity Type | Organization |
| Organization Name | CENTRA HEALTH INC |
| Other Organization Name | VIRGINIA BAPTIST HOSPITAL SKILLED CARE |
| Practice Address |
3300 Rivermont Ave Lynchburg VA 24503 |
| Mailing Address |
Po Box 2496 Lynchburg VA 24505 |
| Practice Telephone | 4349473777 |
| Practice Fax Number | 4349474763 |
| Mailing Telephone | 4349473777 |
| Mailing Fax Number | 4349474763 |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LEWIS C ADDISON (SRVP/CFO) |
| Authorized Official Telephone | 4349474708 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 313M00000X | Nursing Facility/Intermediate Care Facility | H1911 | VA | Nursing & Custodial Care Facilities |
| X | 314000000X | Skilled Nursing Facility | H1911 | VA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM | 000344 | 01 |
| Other Name | Type Code |
|---|---|
| Virginia Baptist Hospital Skilled Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790882181 | Centra Health Inc | Physical Therapist | 1204 Fenwick Dr, Lynchburg, VA 24502-2112 | 2006-09-20 |
| 1013011220 | Centra Health Inc | Nursing Facility/Intermediate Care Facility | 1300 Enterprise Dr, Lynchburg, VA 24502 | 2006-09-08 |
| 1831293042 | Centra Health Inc | Skilled Nursing Facility | 173 Brockman Pk Dr, Amherst, VA 24521 | 2006-09-08 |
| 1740384957 | Centra Health Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1410 Kentmoor Farm Rd, Madison Heights, VA 24572 | 2006-09-08 |
| 1114021326 | Centra Health Inc | Rehabilitation, Substance Use Disorder Unit | 3300 Rivermont Avenue, Lynchburg, VA 24505 | 2006-09-08 |
| 1205357506 | Centra Health Inc | Internal Medicine | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2017-06-28 |
| 1578738225 | Centra Health Inc | Durable Medical Equipment & Medical Supplies | 1701 Thomson Dr, Lynchburg, VA 24501-1118 | 2008-04-24 |
| 1366635328 | Centra Health Inc | Ambulance | 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 | 2007-08-23 |
| 1669591178 | Centra Health Inc | Skilled Nursing Facility | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2007-03-28 |
| 1659414787 | Centra Health Inc | Clinic/Center | 121 Nationwide Dr, Lynchburg, VA 24502-4272 | 2007-02-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Centra Health Inc. | 1920 Atherholt Rd, Lynchburg, Virginia 24501 |
| Street Address |
3300 RIVERMONT AVE |
| City | LYNCHBURG |
| State | VA |
| Zip Code | 24503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750384137 | James Cummings Dunstan Jr. | Orthopaedic Surgery | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2005-05-31 |
| 1649887175 | Bruce Slagle | Pharmacy Technician | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2020-09-29 |
| 1023622149 | Stephanie Lane Porter | Nurse Practitioner | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2020-09-04 |
| 1013532803 | Meredith Ryan Smith | Counselor | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2020-06-08 |
| 1326682980 | Centra Medical Group, LLC | Family Medicine | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2019-11-06 |
| 1831751809 | Elizabeth Ware | Speech-Language Pathologist | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2019-07-01 |
| 1730740788 | Rhandi Nichole Norman | Registered Nurse | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2019-06-20 |
| 1922668136 | Paula Deane Creekmore | Nurse Practitioner | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2019-06-19 |
| 1215401948 | Adam Russell Penrose | Nurse Anesthetist, Certified Registered | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2019-01-16 |
| 1891268199 | Donna C Schwarz | Nurse Anesthetist, Certified Registered | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2019-01-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427661859 | Better Way Psychiatry Pllc | Psychiatry & Neurology | 4925 Boonsboro Road, Pmb 137, Lynchburg, VA 24503 | 2020-08-25 |
| 1164845632 | Andrew Joseph Anderson | Family Medicine | 4327 Boonsboro Rd Ste 5, Lynchburg, VA 24503 | 2014-02-03 |
| 1407139421 | William Carter Wingfield Sr. | Pharmacist | 5006 Old Boonsboro Rd, Lynchburg, VA 24503 | 2011-09-26 |
| 1912226382 | The Way Congregational Church | Voluntary or Charitable | 3305 Rivermont Avenue, Lynchburg, VA 24503 | 2010-05-25 |
| 1659549897 | Elizabeth Ann Bolton | Speech-Language Pathologist | 302 Rowland Dr., Lynchburg, VA 24503 | 2008-02-11 |
| 1821286485 | Mary Ayers Highton | Nurse Practitioner | 3300 Rivermont Ave., Lynchburg, VA 24503 | 2007-10-09 |
| 1588746044 | Presbyterian Homes and Family Services | Day Training, Developmentally Disabled Services | 150 Linden Avenue, Lynchburg, VA 24503 | 2006-10-20 |
| 1417043910 | Timothy Clinton | Counselor | 2811 Linkhorne Dr., Ste B, Lynchburg, VA 24503 | 2006-10-04 |
| 1730733288 | Joy Lois Knapton | Lactation Consultant, Non-RN | 150 Linden Ave, Lynchburg, VA 24503 | 2019-08-01 |
| 1346606845 | Julie Brown | Registered Nurse | 3300 Rivermont Ave., Virginia Baptist Hospital, Lynchburg, VA 24503 | 2016-01-13 |
| Find all providers in zip 24503 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013011220 | Centra Health Inc | Nursing Facility/Intermediate Care Facility | 1300 Enterprise Dr, Lynchburg, VA 24502 | 2006-09-08 |
| 1073967030 | Carrington-ltc, LLC | Nursing Facility/Intermediate Care Facility | 2406 Atherholt Rd, Lynchburg, VA 24501-2148 | 2016-04-15 |
| 1821401571 | Centra Post Acute Services LLC | Nursing Facility/Intermediate Care Facility | 1300 Enterprise Dr, Lynchburg, VA 24502-5746 | 2014-06-10 |
| 1275946923 | Centra Post Acute Services LLC | Nursing Facility/Intermediate Care Facility | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2014-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235594854 | Leibovici Health Care LLC | Nursing Facility/Intermediate Care Facility | 421 Van Wyck Mews, Norfolk, VA 23517-2129 | 2015-12-24 |
| 1831510262 | Sunnyside Presbyterian Home | Nursing Facility/Intermediate Care Facility | 600 University Blvd Ste L, Harrisonburg, VA 22801-3763 | 2014-01-03 |
| 1962843805 | Caring Hands Facilitators | Nursing Facility/Intermediate Care Facility | 1600 Selma Pl, Richmond, VA 23223-1281 | 2013-07-08 |
| 1699111864 | Able Support Facilitators | Nursing Facility/Intermediate Care Facility | 5 Stratford Dr, 113, Fishersville, VA 22939-2145 | 2013-05-15 |
| 1477835569 | Genesis Rehab Services | Nursing Facility/Intermediate Care Facility | 200 W Uhler Ter, Alexandria, VA 22301 | 2011-09-14 |
| 1447491394 | Lakewood Manor Baptist Retirement Community | Nursing Facility/Intermediate Care Facility | 1900 Lauderdale Dr, Richmond, VA 23238-3902 | 2009-03-23 |
| 1376784488 | The Glebe, Inc. | Nursing Facility/Intermediate Care Facility | 200 The Glebe Blvd, Daleville, VA 24083-3722 | 2009-03-19 |
| 1518160191 | Department of Veterans Affairs | Nursing Facility/Intermediate Care Facility | 19508 Mccray Dr, Abingdon, VA 24211-6838 | 2007-06-09 |
| 1457561003 | Virginia United Methodist Homes, Inc. | Nursing Facility/Intermediate Care Facility | 23610 North St, Onancock, VA 23417-2024 | 2007-05-23 |
| 1154535334 | Powhatan Nursing Home, Inc | Nursing Facility/Intermediate Care Facility | 2100 Powhatan St, Falls Church, VA 22043-1940 | 2007-05-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.