Organization Name: | COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH |
NPI Number: | 1831109032 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KIMBERLY W HABEL (OFFICE SERVICE SUPERVISOR SENIOR) |
Mailing Address: | 2270 Magnolia Ave Buena Vista |
State: | VA US |
Postal Code: | 244163122 |
Phone Number: | 5402612149 |
Fax Number: | 5402611661 |
NPI Enumeration Date: | 08/09/2006 |
NPI Last Update Date: | 08/02/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | 0101021588 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |