CENTRA SOUTHSIDE EMERGENCY PROFESSIONAL SERVICES
NPI 1174864615
Emergency Medicine in Farmville, VA

Active since March 08, 2013
800 OAK ST, FARMVILLE, VA 23901(434) 315-2530 Get Directions Write a Review

NPPES record last updated: March 8, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Centra Southside Emergency Professional Services NPPES

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

CENTRA SOUTHSIDE EMERGENCY PROFESSIONAL SERVICES (NPI 1174864615) is a healthcare organization registered as an emergency medicine in Farmville, Virginia and active in the NPI registry since March 2013. The organization lists William Bass, Vp Coo, as its authorized official.

NPPES Registry Identity

NPI1174864615
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameCENTRA MEDICAL GROUP SOUTHSIDE, LLC
Location Address800 OAK STFarmville, VA 23901-1199
Mailing Address1204 Fenwick DrLynchburg, VA 24502-2112
Organization SubpartYes
Authorized OfficialWilliam BassVp Coo · (434) 315-2432
Enumeration DateMarch 8, 2013
NPI 1174864615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

800 OAK ST, Farmville, VA 23901

Other Names 1

Doing Business AsCentra Southside Emergency Professional Services

Other Identifiers 1

Medicare PINC10459

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

Nurse Anesthetist, Certified Registered
800 OAK ST
FARMVILLE, VA 23901
Hospitalist
800 OAK ST
FARMVILLE, VA 23901
Clinical Nurse Specialist (Community Health/Public Health)
800 OAK ST
FARMVILLE, VA 23901
Advanced Practice Midwife
800 OAK ST
FARMVILLE, VA 23901
Nurse Practitioner
800 OAK ST
FARMVILLE, VA 23901
Pharmacy (Clinic Pharmacy)
800 OAK ST
FARMVILLE, VA 23901
Behavior Technician
800 OAK ST
FARMVILLE, VA 23901
Behavior Technician
800 OAK ST
FARMVILLE, VA 23901

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 Southside, LLC's NPI number?

The NPI number for Centra Medical Group Southside, LLC is 1174864615. It was assigned to this organization in the NPPES registry on March 8, 2013. The provider is doing business as Centra Southside Emergency Professional Services.

Where is Centra Medical Group Southside, LLC located?

Centra Medical Group Southside, LLC is located at 800 Oak St, Farmville, VA 23901. The listed phone number is (434) 315-2530.

What is Centra Medical Group Southside, LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Centra Medical Group Southside, LLC was last updated on March 8, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.