Organization · Type 2 NPI

Centra Health Professional Services, LLC

Family Medicine Physician · Danville, VA

NPI number 1043662828 Active

Practice location

414 Park Avenue
Danville, VA 24541-9998

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Internal Medicine Physician	207R00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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NPI record

NPI: 1043662828
Entity type: Organization (Type 2)
Issued: Jul 6, 2016
Last updated: Jul 6, 2016
Status: Active
Subpart: Yes of Centra Medical Group, LLC

Other names

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Centra Health Medical Center-Danville · other name

Authorized official

Joshua Larkin
Credentialing Specialist
(434) 200-5047

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1043662828

Centra Health Professional Services, LLC's National Provider Identifier is 1043662828, issued on Jul 6, 2016. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Danville, VA. The record was last updated on Jul 6, 2016.