Organization · Type 2 NPI

Centra Medical Group, LLC

Rural Health Clinic/Center · Brookneal, VA

NPI number 1861288656 Active

Practice location

104 Carolina Ave
Brookneal, VA 24528-2643

Call (434) 376-2325 Map

Mailing address

PO Box 749379
Atlanta, GA 30374-9379

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

8 other providers at this address

Centra Health Professional Services, LLCFamily Medicine Physician Brookneal, VA NPI 1659315943
Donald E. Carwile, MDFamily Medicine Physician Brookneal, VA NPI 1861499493
Kerri Shepheard Rundstrom, NPFamily Nurse Practitioner Brookneal, VA NPI 1073260824
Kimberly Diane Altizer, NP-CNurse Practitioner Brookneal, VA NPI 1609397462
Paulina AmoahFamily Nurse Practitioner Brookneal, VA NPI 1467112821
Ronald Pawlak, MDFamily Medicine Physician Brookneal, VA NPI 1811346349
Vincent John Waldron, M. D.Family Medicine Physician Brookneal, VA NPI 1689783631
William G. Jones, MDFamily Medicine Physician Brookneal, VA NPI 1366449704

NPI record

NPI: 1861288656
Entity type: Organization (Type 2)
Issued: Apr 17, 2025
Last updated: Apr 17, 2025
Status: Active
Subpart: Yes of Centra Medical Group, LLC

Other names

Centra Medical Group Brookneal · doing business as

Authorized official

Sonya R Turner
Sr. Director Revenue Cycle
(434) 200-6942

Verify this record

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About NPI 1861288656

Centra Medical Group, LLC's National Provider Identifier is 1861288656, issued on Apr 17, 2025. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Brookneal, VA. The record was last updated on Apr 17, 2025.