Provider Type Icon

CENTRA MEDICAL GROUP LLC NPI 1790552172


NPI Information

NPI: 1790552172
Provider Name: CENTRA MEDICAL GROUP, LLC

Doing Business As: CENTRA DANVILLE MEDICAL CENTER

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 49D0704407

Address:
414 PARK AVE
DANVILLE, VA
ZIP 24541
Phone: (434) 857-3600
Get Directions

CENTRA MEDICAL GROUP, LLC is a rural health clinic center in Danville, VA. CENTRA MEDICAL GROUP, LLC NPI is 1790552172. The provider is registered as an organization entity type.
The provider Is Doing Business As Centra Danville Medical Center.

The provider's business location address is:

414 PARK AVE
DANVILLE, VA
ZIP 24541-630
Phone: (434) 857-3600
Fax: (434) 857-3601

The provider's authorized official is Sonya R Turner .
The authorized official title is Sr. Director Rev Cycle and has the following contact phone number (434) 200-6942.

The CLIA number assigned to this NPI record is 49D0704407 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 12/6/2023 and was last updated on 12/6/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1300XClinic/CenterRural HealthYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.