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Contact Information

COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
135 HALL AVENUE
SUITE A
SUFFOLK, VA23434-4657
 Phone: 757-514-4700
 Fax: 757-514-4873
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Public Health, State or Local

261QP0905X
Indicates primary specialty

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

NPI # 1487629374
LBN Legal business name COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Authorized official ANGELA TILLERY - (BUSINESS MANAGER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 02/22/2006
Last updated 02/09/2010 - About 16 years ago
Identifiers
VA Medicaid 008700664
VA Medicaid 008770271
VA Medicaid 4972279
VA Medicaid 4976240
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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