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DSH490021Q CENTRA HEALTH (Active)
Main Details
Name
CENTRA HEALTH
Subdivision Name
Stroobants Cardiovascular Center - Cardiology
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH490021Q
Medicare Provider Number
490021
Outpatient Facility Provider Number
Contacts
Authorizing Official
Centra Health Inc.
Tabitha M. Culbertson, President, Lynchburg General &Virginia Baptist Hospitals
(434) 200-3014
Primary Contact
Centra Health Inc
Cynthia W. Mann, Pharmacy Purchasing Manager
(434) 200-7297
Additional Details
Current Program Status
Active
Registration Date
7/17/2023
Participating Start Date
10/1/2023
Participating Approval Date
9/13/2023
Last Recertification Date
Addresses
Street Address
2410 Atherholt Road
Lynchburg, VA 24501
Billing Address
Centra Health Inc.
1901 Tate Springs Road
Lynchburg, VA 24501
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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