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Centra Medical Group, LLC — NPI 1164720058, Altavista, VA | NPI Central

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NPI 1164720058

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Centra Medical Group, LLC

NPI 1164720058 · Rural Health Clinic/Center · Altavista, VA

Provider details

NPI number: 1164720058
Entity type: Organization
Primary specialty: Rural Health Clinic/CenterAmbulatory Health Care Facilities
Parent organization: Centra Medical Group, LLC
Organization subpart: Yes
Authorized official: Lewis Addison, Sr Vp, Cfo(434) 200-3656

Specialties & taxonomies

Rural Health Clinic/CenterPrimary261QR1300X
Ambulatory Health Care Facilities

Practice location

1280a Main St

Altavista, VA 24517-1465

Phone: (434) 309-1165

Approximate (ZIP-level) locationGet directions

More VA providers

Mailing address

1204 Fenwick Dr

Lynchburg, VA 24502-2112

Other names (DBA / former)

Doing business as: Altavista Medical Center Rhc

Registry dates

Enumerated: 2011-03-02
Last updated: 2012-11-14

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.