| Organization Name: | COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH |
| NPI Number: | 1992801609 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALEXANDER P SAMUEL (DISTRICT HEALTH DIRECTOR) |
| Mailing Address: | 11387 Courthouse Rd Lunenburg |
| State: | VA US |
| Postal Code: | 239529999 |
| Phone Number: | 4346962346 |
| Fax Number: | 4346961271 |
| NPI Enumeration Date: | 09/16/2006 |
| NPI Last Update Date: | 03/24/2011 |
| 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: | |