ALTAVISTA MEDICAL CENTER RHC
NPI 1164720058
Clinic/Center - Rural Health in Altavista, VA

Active since March 02, 2011
1280A MAIN ST, ALTAVISTA, VA 24517(434) 309-1165 Get Directions Write a Review

NPPES record last updated: November 14, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Altavista Medical Center Rhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALTAVISTA MEDICAL CENTER RHC (NPI 1164720058) is a healthcare organization registered as a rural health in Altavista, Virginia and active in the NPI registry since March 2011. The organization lists Lewis Addison, Sr Vp, Cfo, as its authorized official.

NPPES Registry Identity

NPI1164720058
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCENTRA MEDICAL GROUP, LLC
Location Address1280A MAIN STAltavista, VA 24517-1465
Mailing Address1204 Fenwick DrLynchburg, VA 24502-2112
Organization SubpartYes
Authorized OfficialLewis AddisonSr Vp, Cfo · (434) 200-3656
Enumeration DateMarch 2, 2011
Last NPPES UpdateNovember 14, 2012
NPI 1164720058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1280A MAIN ST, Altavista, VA 24517

Other Names 1

Doing Business AsAltavista Medical Center Rhc

Other Identifiers 1

Medicare PINC09704

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1280A MAIN ST
ALTAVISTA, VA 24517
Family Medicine
1280A MAIN ST
ALTAVISTA, VA 24517
Nurse Practitioner (Primary Care)
1280A MAIN ST
ALTAVISTA, VA 24517
Physician Assistant
1280A MAIN ST
ALTAVISTA, VA 24517
Family Medicine
1280A MAIN ST
ALTAVISTA, VA 24517
Physician Assistant
1280A MAIN ST
ALTAVISTA, VA 24517

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Centra Medical Group, LLC's NPI number?

The NPI number for Centra Medical Group, LLC is 1164720058. It was assigned to this organization in the NPPES registry on March 2, 2011. The provider is doing business as Altavista Medical Center Rhc.

Where is Centra Medical Group, LLC located?

Centra Medical Group, LLC is located at 1280A Main St, Altavista, VA 24517. The listed phone number is (434) 309-1165.

What is Centra Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Centra Medical Group, LLC was last updated on November 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.