CENTRA HEALTH INC


Address: 173 Brockman Pk Dr, Amherst, VA 24521
Phone: 4349473777

CENTRA HEALTH INC (NPI# 1831293042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831293042
Entity Type Organization
Organization Name CENTRA HEALTH INC
Other Organization Name FAIRMONT CROSSING REHABILITATION & HEALTH CARE CENTER
Practice Address 173 Brockman Pk Dr
Amherst
VA 24521
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 2011-11-28
Authorized Official Name LEWIS C ADDISON (SRVP/CFO)
Authorized Official Telephone 4342004708
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 314000000X Skilled Nursing Facility NH2519 VA Nursing & Custodial Care Facilities
Y 313M00000X Nursing Facility/Intermediate Care Facility NH2519 VA Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
VA ANTHEM 000344 01
VA 004967232 05

Other Provider/Organization Names

Other Name Type Code
Fairmont Crossing Rehabilitation & Health Care Center Doing Business As Name - Organization

Other Provider IDs and Locations

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
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
1376619254 Centra Health Inc Radiology 1900 Tate Springs Rd, Lynchburg, VA 24501-1122 2006-11-24

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities Centra Health Inc. 1920 Atherholt Rd, Lynchburg, Virginia 24501

Office Location

Street Address 173 BROCKMAN PK DR
City AMHERST
State VA
Zip Code 24521

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962020826 Amherst County Public Schools Case Management 153 Washington Street, Amherst, VA 24521 2020-07-08
1154712420 Leeann Gonzalez Physical Therapist 115 Ambriar Ct, Amherst, VA 24521 2015-02-09
1457642514 Gena Smith Occupational Therapy Assistant 738 N Coolwell Rd, Amherst, VA 24521 2011-04-25
1891922399 Deborah K. Bowman Family Medicine 124 Ambriar Ct, Amherst, VA 24521 2009-06-11
1083883300 Rosa Mae Garner Licensed Practical Nurse 454 Mansion Way, Amherst, VA 24521 2008-02-21
1497849947 Ryan Webb Physical Therapist 115 Ambriar Court, Amherst, VA 24521 2006-10-02
1558478958 Harman Eye Center of Amherst and Associates Plc Optometrist 204 Ambriar Plaza, Amherst, VA 24521 2006-08-23
1689624637 Amherst County Board of Supervisors Ambulance 119 Taylor St, Amherst, VA 24521 2006-05-11
1881643815 Commonwealth of Virginia State Board of Health Public Health or Welfare 224 2nd Street, Amherst, VA 24521 2006-05-08
1699731695 Harold Winston Wilson Jr. Pharmacist 198 Ambriar Plaza S Main St, Amherst, VA 24521 2006-04-26
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Taxonomy Information

Taxonomy Code 313M00000X
Grouping Nursing & Custodial Care Facilities
Classification Nursing Facility/Intermediate Care Facility

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558411660 Jan Dee Management Services, Inc Nursing Facility/Intermediate Care Facility 1400 Main St, Amherst, TX 79312 2007-01-11

Providers in the same taxonomy and state

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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Competitor

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City AMHERST
Zip Code 24521

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Dataset Information

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.

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