340B Drug Pricing Program Database


DSH490021J CENTRA HEALTH (Active) - information as of 4/30/2025 10:51:30 PM

Main Details
CENTRA HEALTH
VBH/ Endoscopy - Endoscopy
Disproportionate Share Hospital
Yes
DSH490021J
490021


Additional Details
Active
7/17/2023
10/1/2023
9/12/2023
8/15/2024

Contacts

Centra Health, Inc.
James A. Frenchik, President Centra Health Lynchburg Region
(434) 200-3014

Centra Health Inc
Cynthia W. Mann, Pharmacy Purchasing Manager
(434) 200-7297

Addresses

3300 Rivermont Ave
Lynchburg, VA 24503

Same as Street Address


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Parent/Child
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

Yes
StateMedicaid NumberNPI Number
VA49002191770693939
Shipping Addresses

Same as Street Address
Parent/Child
340B IDHierarchyEntity TypeNameSub NameAddressCityState340B Status
DSH490021AChildDSHCENTRA HEALTHVBH/ Ultrasound - Ultrasound3300 Rivermont AveLynchburgVAActive
DSH490021BChildDSHCENTRA HEALTHVBH/ Outpatient Department - Infusion3300 Rivermont AvenueLynchburgVAActive
DSH490021CChildDSHCENTRA HEALTHAlan B Pearson Regional Cancer Center Nuclear Medicine - PET/CT - PET/CT1701 Thomson DriveLynchburgVAActive
DSH490021DChildDSHCENTRA HEALTHVBH/Anesthesia - Anesthesia3300 Rivermont AveLynchburgVAActive
DSH490021EChildDSHCENTRA HEALTHAlan B Pearson Regional Cancer Center/ Radiation Oncology - Radiation Oncology1701 Thomson DriveLynchburgVAActive
DSH490021FChildDSHCENTRA HEALTHGretna Medical Center / Emergency Dept - Emergency Dept291 McBride LaneGretnaVAActive
DSH490021GChildDSHCENTRA HEALTHWound Care - Wound Care2410 Atherholt RoadLynchburgVAActive
DSH490021HChildDSHCENTRA HEALTHVBH/ Recovery Room - Recovery Room3300 Rivermont AveLynchburgVAActive
DSH490021JChildDSHCENTRA HEALTHVBH/ Endoscopy - Endoscopy3300 Rivermont AveLynchburgVAActive
DSH490021KChildDSHCENTRA HEALTHVBH/CT Scan - CT Scan3300 Rivermont AveLynchburgVAActive
DSH490021LChildDSHCENTRA HEALTHVBH/ Radiology - Radiology3300 Rivermont AveLynchburgVAActive
DSH490021MChildDSHCENTRA HEALTHVBH/ Birth Ctr - Labor and Delivery3300 Rivermont AveLynchburgVAActive
DSH490021NChildDSHCENTRA HEALTHVBH/Respiratory Therapy - Respiratory Therapy3300 Rivermont AveLynchburgVAActive
DSH490021PChildDSHCENTRA HEALTHVBH/ Ambulatory Surgery - Ambulatory Surgery3300 Rivermont AveLynchburgVAActive
DSH490021QChildDSHCENTRA HEALTHStroobants Cardiovascular Center - Cardiology2410 Atherholt RoadLynchburgVAActive
DSH490021RChildDSHCENTRA HEALTHVBH/ OR - OR3300 Rivermont AveLynchburgVAActive
DSH490021SChildDSHCENTRA HEALTHPain Management Center - Pain Management1330 Oak Lane, Suite 202LynchburgVAActive
DSH490021TChildDSHCENTRA HEALTHVBH/Nuclear Med - Nuclear Medicine3300 Rivermont AveLynchburgVAActive
DSH490021UChildDSHCENTRA HEALTHAlan B. Pearson Regional Cancer Center/ Oncology Hematology Clinic - Oncology Hematology Clinic1701 Thomson DriveLynchburgVAActive
DSH490021VChildDSHCENTRA HEALTHVirginia Baptist - Observation - VBH / Adult & Ped Observation3300 Rivermont AveLynchburgVAActive
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
ContactsAuthorizing OfficialUpdateChange RequestCulbertson, Tabitha M. President, Lynchburg General &Virginia Baptist Hospitals Centra Health Inc. 4342003014Frenchik, James A. President Centra Health Lynchburg Region Centra Health, Inc. 43420030143/14/2025 9:38 AM
DetailsLast Recertification DateUpdateRecertification 8/15/2024 10:14:29 AM8/15/2024 10:14 AM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False12/11/2023 10:06 AM
Medicaid BillingMedicaid: NumberInsertChange Request 490021912/11/2023 10:06 AM
Medicaid BillingMedicaid: StateInsertChange Request VA12/11/2023 10:06 AM
Medicaid BillingNPI: NumberInsertChange Request 177069393912/11/2023 10:06 AM
Medicaid BillingNPI: StateInsertChange Request VA12/11/2023 10:06 AM
DetailsStateUpdate ApprovedActive10/1/2023 12:01 AM
ContactsSigned ByInsertNew Registration Culbertson, Tabitha M. President, Lynchburg General &Virginia Baptist Hospitals Centra Health Inc. 43420030149/12/2023 11:01 PM
Details340B IDUpdateNew Registration DSH490021J9/12/2023 11:01 PM
DetailsEntity SubnameUpdateNew RegistrationVBH/ EndoscopyVBH/ Endoscopy - Endoscopy9/12/2023 11:01 PM
DatesParticipating Approval DateUpdateNew Registration 9/12/2023 11:01:24 PM9/12/2023 11:01 PM
DetailsStateUpdateNew RegistrationPendingApproved9/12/2023 11:01 PM
DatesSigned By DateUpdateNew Registration 9/12/2023 10:49:11 AM9/12/2023 11:01 PM
DatesStart DateUpdateNew Registration 10/1/2023 12:00:00 AM9/12/2023 11:01 PM
ContactsAuthorizing OfficialUpdateProfile Change RequestCulbertson, Tabitha M. VP OPERATIONS & HOSPITAL ADMINISTRATION Centra Health Inc. 4342003014Culbertson, Tabitha M. President, Lynchburg General &Virginia Baptist Hospitals Centra Health Inc. 43420030147/24/2023 2:47 PM
AddressesMain AddressInsertNew Registration  3300 Rivermont Ave Lynchburg, VA 245037/17/2023 11:32 AM
ContactsAuthorizing OfficialInsertNew Registration Culbertson, Tabitha M. VP OPERATIONS & HOSPITAL ADMINISTRATION Centra Health Inc. 43420030147/17/2023 11:32 AM
ContactsPrimary ContactInsertNew Registration Mann, Cynthia W. Pharmacy Purchasing Manager Centra Health Inc 43420072977/17/2023 11:32 AM
DetailsAssistance Received From DateInsertNew Registration  7/17/2023 11:32 AM
DetailsAssistance Received To DateInsertNew Registration  7/17/2023 11:32 AM
DetailsLast Recertification DateInsertNew Registration  7/17/2023 11:32 AM
DetailsGrant NumberInsertNew Registration  7/17/2023 11:32 AM
Details340B IDInsertNew Registration  7/17/2023 11:32 AM
DetailsIs Authorizing Official EHB DataInsertNew Registration  7/17/2023 11:32 AM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  7/17/2023 11:32 AM
DetailsMedicare Provider NumberInsertNew Registration 4900217/17/2023 11:32 AM
DetailsEntity NameInsertNew Registration CENTRA HEALTH7/17/2023 11:32 AM
DetailsNOFO NumberInsertNew Registration  7/17/2023 11:32 AM
DetailsProgram CodeInsertNew Registration DSH7/17/2023 11:32 AM
DetailsEntity SubnameInsertNew Registration VBH/ Endoscopy7/17/2023 11:32 AM
DatesParticipating Approval DateInsertNew Registration  7/17/2023 11:32 AM
DetailsStateInsertNew Registration Pending7/17/2023 11:32 AM
DatesRegistration DateInsertNew Registration 7/17/2023 11:32:20 AM7/17/2023 11:32 AM
DatesSigned By DateInsertNew Registration  7/17/2023 11:32 AM
DatesStart DateInsertNew Registration  7/17/2023 11:32 AM
TerminationsTermination CommentsInsertNew Registration  7/17/2023 11:32 AM
TerminationsTermination DateInsertNew Registration  7/17/2023 11:32 AM
TerminationsTermination Effective DateInsertNew Registration  7/17/2023 11:32 AM
TerminationsTermination ReasonInsertNew Registration  7/17/2023 11:32 AM