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Contact Information

COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
1480 N MAIN ST
MADISON, VA22727-3093
 Phone: 540-948-5481
 Fax: 540-948-3841
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Public Health, State or Local

261QP0905X
 

Public Health or Welfare

251K00000X 60 Public Health or Welfare Agency
Indicates primary specialty

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

NPI Number 1558451575
LBN Legal business name COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Authorized official DANA MCCLELLAND - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/13/2006
Last updated 03/05/2024 - About 2 years ago
Identifiers
VA Medicaid 4975707
VA Other 49D0714359 CLIA
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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