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DSH490021 CENTRA HEALTH (Active)
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Main Details
Name
CENTRA HEALTH
Subdivision Name
Lynchburg General Hospital
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH490021
Medicare Provider Number
490021
Additional Details
Current Program Status
Active
Registration Date
7/14/2023
Participating Start Date
10/1/2023
Participating Approval Date
9/7/2023
Last Recertification Date
8/15/2024
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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