CENTRA MEDICAL GROUP SOUTHSIDE, LLC - NPI 1841479565 - Family Medicine in Farmville, VA

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

The NPI number for Centra Medical Group Southside, LLC is 1841479565. It was assigned to this organization in the NPPES registry on October 30, 2007.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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About Centra Medical Group Southside, Llc NPPES

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

CENTRA MEDICAL GROUP SOUTHSIDE, LLC (NPI 1841479565) is a healthcare organization registered as a family medicine in Farmville, Virginia and active in the NPI registry since October 2007. The organization lists William Bass, Cfo, as its authorized official.

NPPES Registry Identity

NPI1841479565

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameCENTRA MEDICAL GROUP SOUTHSIDE, LLC

Location Address800 OAK STFarmville, VA 23901-1199

Mailing Address2010 Atherholt RdLynchburg, VA 24501-1106

Phone(434) 200-3656

Organization SubpartNo

Authorized OfficialWilliam BassCfo · (434) 392-8811

Enumeration DateOctober 30, 2007

Last NPPES UpdateAugust 7, 2014

✔ NPI 1841479565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X

Also ListedSurgeryTaxonomy 208600000X

800 OAK ST, Farmville, VA 23901

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Other Identifiers 13

Other61459604VA · Black Lung/feca (1418 6th St)

Other345606VA · Anthem Bcbs (412 Namozine Street)

Other61459602VA · Black Lung/feca (412 Namozine Str)

Other61459600VA · Black Lung/feca (ste 3105)

Medicaid1841479565VA

Other345604VA · Anthem Bcbs (800 Oak Street)

Other61459601VA · Black Lung/feca (312 King St)

Other345307VA · Anthem, Bcbs (1418 6th Street)

Other345608VA · Anthem Bcbs (312 King Street)

Other9978134VA · Aetna

Other61459603VA · Black Lung/feca (1705 3rd St)

Medicare PINDN1489VA

Medicare PINC10459VA

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.

ELIZABETH C. SMITH CRNA

Nurse Anesthetist, Certified Registered