| Organization Name: | COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH |
| NPI Number: | 1093759706 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANNA H STEVENS (BUSINESS MANAGER) |
| Mailing Address: | 290 S 6th St Ste 300 Wytheville |
| State: | VA US |
| Postal Code: | 243822511 |
| Phone Number: | 2762285507 |
| Fax Number: | 2762283392 |
| NPI Enumeration Date: | 06/15/2006 |
| NPI Last Update Date: | 11/09/2012 |
| 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: | |