Organization · Type 2 NPI

Centra Health Professional Services, LLC

Family Medicine Physician · Altavista, VA

NPI number 1619912441 Active

Practice location

1280A Main St
Altavista, VA 24517-1458

Call (434) 309-1165 Map

Mailing address

1204 Fenwick Dr
Lynchburg, VA 24502-2112

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	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.

6 other providers at this address

NPI record

NPI: 1619912441
Entity type: Organization (Type 2)
Issued: Jun 17, 2006
Last updated: Apr 25, 2012
Status: Active
Subpart: Yes of Centra Health Professional Services, LLC

Other names

<unavail>
Altavista Medical Center · doing business as

Authorized official

Arthur Leavitt
VP Physician Practice Management
(434) 200-3656

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 1619912441

Centra Health Professional Services, LLC's National Provider Identifier is 1619912441, issued on Jun 17, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Altavista, VA. The record was last updated on Apr 25, 2012.