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CENTRA MEDICAL GROUP LLC NPI 1932402484


NPI Information

NPI: 1932402484
Provider Name: CENTRA MEDICAL GROUP, LLC

Doing Business As: PIEDMONT PRIMECARE-CENTRA MEDICAL GROUP (DME)

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
130 ENTERPRISE DR
DANVILLE, VA
ZIP 24540
Phone: (434) 791-2273
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CENTRA MEDICAL GROUP, LLC is a family medicine in Danville, VA. The provider is 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. CENTRA MEDICAL GROUP, LLC NPI is 1932402484. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Piedmont Primecare-centra Medical Group (dme).

The provider's business location address is:

130 ENTERPRISE DR
DANVILLE, VA
ZIP 24540-070
Phone: (434) 791-2273

The provider's authorized official is Lewis Addison .
The authorized official title is Cfo and has the following contact phone number (434) 200-3656.

The enumeration date for this NPI number is 12/6/2010 and was last updated on 11/14/2012.


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
1207Q00000XFamily 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16637830001MEDICARE NSC
2C09704MEDICARE PIN
3DE2814MEDICARE PIN

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

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