Organization · Type 2 NPI
Centra Medical Group, LLC
Rural Health Clinic/Center · Altavista, VA
NPI number
1164720058
Active
Practice location
1280A Main St
Altavista, VA 24517-1465
Mailing address
1204 Fenwick Dr
Lynchburg, VA 24502-2112
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rural Health Clinic/Center Primary | 261QR1300X | None listed |
Rural Health Clinic/Center: Definition to come...
6 other providers at this address
- Centra Health Professional Services, LLCFamily Medicine Physician Altavista, VA NPI 1619912441
- Dominique Tarrant, PA-CPhysician Assistant Altavista, VA NPI 1699663310
- Hannah AngelellaPhysician Assistant Altavista, VA NPI 1942995402
- James David Danner, DOFamily Medicine Physician Altavista, VA NPI 1407072069
- Mekhla B. RainaPrimary Care Nurse Practitioner Altavista, VA NPI 1669257341
- Stephen W. Eakin, MDFamily Medicine Physician Altavista, VA NPI 1770580128
About NPI 1164720058
Centra Medical Group, LLC's National Provider Identifier is 1164720058, issued on Mar 2, 2011. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Altavista, VA. The record was last updated on Nov 14, 2012.