National Provider Identifier Database

COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Public Health or Welfare


Contact Information

COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
170 4TH ST NW
PULASKI, VA24301-4524
Phone: 540-994-5030
Fax: 540-994-5036
Website:
Specialty Taxonomy Code
* Public Health or Welfare 251K00000X
Public Health, State or Local 261QP0905X

* Indicates primary specialty

NPI Profile & details for COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH

NPI Number 1639284979
Legal business name
LBN
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Authorized official NOELLE BISSELL - (HEALTH DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 08/19/2006
Last updated 11/29/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • VA Medicaid: 004975880

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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