National Provider Identifier Database

COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Public Health, State or Local


Contact Information

COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
26022 ADMINISTRATIVE CENTER DRIVE
COURTLAND, VA23837-0009
Phone: 757-653-3040
Fax: 757-653-0834
Website:
Specialty Taxonomy Code
* Public Health, State or Local 261QP0905X

* Indicates primary specialty

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

NPI Number 1053386979
Legal business name
LBN
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Authorized official ANGELA TILLERY - (BUSINESS MANAGER)
Entity Organization
Organization subpart No
Enumeration date 02/22/2006
Last updated 06/09/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • VA Medicaid: 008700681
  • VA Medicaid: 008770280
  • VA Medicaid: 497229
  • VA Medicaid: 4975952
  • VA Medicaid: 8450714

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.

Reviews for COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH

There are currently no reviews for COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH


NPIdb - Home
v2.201