CENTRA SOUTHSIDE EMERGENCY PROFESSIONAL SERVICES – NPI #1174864615
Emergency Medicine

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.

Health Care Provider Taxonomy Code for Emergency Medicine

CENTRA SOUTHSIDE EMERGENCY PROFESSIONAL SERVICES is a provider located in FARMVILLE, VA. NPPES has assigned the NPI number 1174864615 to CENTRA SOUTHSIDE EMERGENCY PROFESSIONAL SERVICES on March 08, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CENTRA SOUTHSIDE EMERGENCY PROFESSIONAL SERVICES” is a dba name, the actual legal business name for this organization is CENTRA MEDICAL GROUP SOUTHSIDE, LLC. The primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CENTRA SOUTHSIDE EMERGENCY PROFESSIONAL SERVICES below.

NPI Profile for
CENTRA MEDICAL GROUP SOUTHSIDE, LLC

NPI Number
1174864615
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CENTRA MEDICAL GROUP SOUTHSIDE, LLC
Doing Business As (dba): CENTRA SOUTHSIDE EMERGENCY PROFESSIONAL SERVICES
Primary location
800 OAK ST
FARMVILLE, VA 23901-1199
Phone: (434) 315-2530 Fax:
Mailing address
1204 FENWICK DR
LYNCHBURG, VA 24502-2112
Phone: Fax:
Organization Subpart
Yes - CENTRA SOUTHSIDE EMERGENCY PROFESSIONAL SERVICES is subpart of another organization.
Authorized Official
WILLIAM BASS
VP COO
Phone: (434) 315-2432
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207P00000X
- Emergency Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.