COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH; NPI #1639284979

Contact Information

COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH

170 4TH ST NW
PULASKI, VA 24301-4524

Phone: 540-994-5030
Fax: 540-994-5036
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Public Health or Welfare	251K00000X	60	Public Health or Welfare Agency
Public Health, State or Local	261QP0905X

Indicates primary specialty

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

NPI Number 1639284979

LBN Legal business name COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH

Authorized official NOELLE BISSELL - (HEALTH DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/19/2006

Last updated 11/29/2023 - About 3 years ago

Identifiers

Medicaid

004975880

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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