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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Centra Medical Group, LLC

Rural Health Clinic/Center in Altavista, VA · enumerated 2011 · authorized official Lewis Addison, Sr Vp, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164720058

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Centra Medical Group, LLC
Other name <Unavail>
Parent organization Centra Medical Group, LLC
Practice address 1280a Main St, Altavista, VA, 24517
Phone (434) 309-1165
Enumeration date Mar 2, 2011
Last updated in NPPES Nov 14, 2012

Taxonomy & classification

261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Lewis Addison
Title Sr Vp, Cfo
Phone (434) 200-3656

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Centra Medical Group, LLC?
Centra Medical Group, LLC is registered in NPPES as a Rural Health Clinic/Center (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-11-14.