Organization Name: | COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH |
NPI Number: | 1821194549 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALEXANDER P SAMUEL (DISTRICT HEALTH DIRECTOR) |
Mailing Address: | 16320 Church Street Amelia |
State: | VA US |
Postal Code: | 230024817 |
Phone Number: | 8045612711 |
Fax Number: | 8045612712 |
NPI Enumeration Date: | 09/16/2006 |
NPI Last Update Date: | 09/20/2010 |
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: |