Organization Name: | COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH |
NPI Number: | 1023049517 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BROOKE W ROSSHEIM (DIRECTOR) |
Mailing Address: | 10708 Ballantraye Drive Suite 204 Fredericksburg |
State: | VA US |
Postal Code: | 224074701 |
Phone Number: | 5408913151 |
Fax Number: | 5408913152 |
NPI Enumeration Date: | 07/05/2006 |
NPI Last Update Date: | 06/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |