Organization Name: | COMMONWEATLH OF VIRGINIA STATE BOARD OF HEALTH |
NPI Number: | 1053355859 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANNA H STEVENS (BUSINESS MANAGER) |
Mailing Address: | 15068 Lee Highway Suite 1000 Bristol |
State: | VA US |
Postal Code: | 24202 |
Phone Number: | 2766765604 |
Fax Number: | 2766451994 |
NPI Enumeration Date: | 06/15/2006 |
NPI Last Update Date: | 08/26/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |