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CENTRA PACE NPI 1861637191


NPI Information

NPI: 1861637191
Provider Name: CENTRA PACE

Doing Business As: CENTRA PACE

Classification: Program of All-Inclusive Care for the Elderly (PACE) Provider Organization - 251T00000X
Entity Type: Organization

CLIA Number: 49D1090102

Address:
407 FEDERAL ST
LYNCHBURG, VA
ZIP 24504
Phone: (434) 200-4190
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CENTRA PACE is a program of all inclusive care for the elderly pace provider organization in Lynchburg, VA. The provider is a PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights. CENTRA PACE NPI is 1861637191. The provider is registered as an organization entity type.
The provider Is Doing Business As Centra Pace.

The provider's business location address is:

407 FEDERAL ST
LYNCHBURG, VA
ZIP 24504-423
Phone: (434) 200-4190
Fax: (434) 200-6263

The provider's authorized official is George C Graham .
The authorized official title is Executive Director and has the following contact phone number (434) 200-6516.

The CLIA number assigned to this NPI record is 49D1090102 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/16/2008 and was last updated on 6/16/2014.


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
1251T00000XProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationVIRGINIAYes

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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