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SCH490021-00 CENTRA HEALTH (Approved)
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Main Details
Name
CENTRA HEALTH
Subdivision Name
Lynchburg General Hospital
Type
Sole Community Hospital
Rural
No
340B ID
SCH490021-00
Medicare Provider Number
490021
Additional Details
Current Program Status
Approved
Registration Date
4/15/2025
Participating Start Date
7/1/2025
Participating Approval Date
5/8/2025
Last Recertification Date
Contacts
Authorizing Official
Centra Health, Inc.
James A. Frenchik, President Centra Health Lynchburg Region
(434) 200-3014
Primary Contact
Centra Health Inc
Cynthia W. Mann, Pharmacy Purchasing Manager
(434) 200-7297
Addresses
Street Address
1920 ATHERHOLT ROAD
LYNCHBURG, VA 24501
Billing Address
Lynchburg General Hospital
1901 Tate Springs Road
Lynchburg, VA 24501
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participating from effective date: (04/01/2011) until terminated effective date: (10/01/2023); reinstatement effective date: (07/1/2025)
05/08/2025
3/4/2011 DOC RECD TO CONFIRM ELIG DSH ADJ %;
03/07/2011
May 2025
May 2025
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