Organization Name: | COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH |
NPI Number: | 1376595785 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VIVIAN PENN-TIMITY (BUSINESS MANAGER) |
Mailing Address: | 1502 Williamson Rd Ne Second Floor Roanoke |
State: | VA US |
Postal Code: | 240125130 |
Phone Number: | 5402835050 |
Fax Number: | 5408577316 |
NPI Enumeration Date: | 05/16/2006 |
NPI Last Update Date: | 07/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |