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CENTRA MEDICAL GROUP LLC NPI 1043693054


NPI Information

NPI: 1043693054
Provider Name: CENTRA MEDICAL GROUP, LLC

Doing Business As: PSYCHIATRIC EMERGENCY CENTER

Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
1901 TATE SPRINGS RD
LYNCHBURG, VA
ZIP 24501
Phone: (434) 200-5999
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CENTRA MEDICAL GROUP, LLC is an emergency medicine in Lynchburg, VA. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. CENTRA MEDICAL GROUP, LLC NPI is 1043693054. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Psychiatric Emergency Center.

The provider's business location address is:

1901 TATE SPRINGS RD
LYNCHBURG, VA
ZIP 24501-109
Phone: (434) 200-5999

The provider's authorized official is Lewis Addison .
The authorized official title is Sr Vp Cfo and has the following contact phone number (434) 200-5047.

The enumeration date for this NPI number is 7/8/2015 and was last updated on 8/6/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatryNo
2207P00000XEmergency MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C09704MEDICARE PINOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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