National Provider Identifier Database

COMMONWEALTH OF VIRGINIASTATE BOARD OF HEALTH
Public Health, State or Local


Contact Information

COMMONWEALTH OF VIRGINIA/STATE BOARD OF HEALTH
836 J CLYDE MORRIS BLVD
NEWPORT NEWS, VA23601-1303
Phone: 757-594-7305
Fax: 757-594-7714
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 1083611107
Legal business name
LBN
COMMONWEALTH OF VIRGINIA/STATE BOARD OF HEALTH
Authorized official NATASHA DWAMENA - (HEALTH DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 07/05/2005
Last updated 11/09/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • VA License #: 00240339042
  • VA Medicaid: 4975103
  • VA Other: P00245240 PALMETTO GBA-MEDICARE

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

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