| Centra Medical Group, Llc | |
|
1280a Main St Altavista VA 24517-1465 | |
| (434) 309-1165 | |
| Not Available |
| Full Name | Centra Medical Group, Llc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1280a Main St, Altavista, Virginia |
| Authorized Official Name and Position | Lewis Addison (SR VP, CFO) |
| Authorized Official Contact | 4342003656 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centra Medical Group, Llc 1204 Fenwick Dr Lynchburg VA 24502-2112 Ph: () - | Centra Medical Group, Llc 1280a Main St Altavista VA 24517-1465 Ph: (434) 309-1165 |
| NPI Number | 1164720058 |
|---|---|
| Provider Enumeration Date | 03/02/2011 |
| Last Update Date | 11/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164720058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Radiant Health And Wellness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 508 7th Street, Office #111, Altavista, VA 24517 Phone: 434-404-4728 | |
Centra Health Professional Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1280a Main St, Altavista, VA 24517 Phone: 434-309-1165 |