Campbell County Department of Social Services
Organization Active NPI Public Health or Welfare Agency · Rustburg, VA
NPI 1023025335 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1023025335
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Public Health or Welfare Agency 251K00000X
- License
- 54790005K (VA)
- Legal business name
- CAMPBELL COUNTY DEPARTMENT OF SOCIAL SERVICES
- Practice address
- 69 Kabler Lane
Rustburg, VA 24588-0860 - Phone
- (434) 332-9585
- Fax
- (434) 332-9600
- NPI assigned
- Aug 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Richard M. Verilla
- Title
- Director
- Phone
- (434) 332-9585
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Campbell County Department of Social Services
Locations
69 Kabler Ln
Rustburg, VA 24588
Phone (434) 332-9585
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | 54790005K | VA | Yes |
Addresses
Primary practice location
69 Kabler Lane
Rustburg, VA 24588-0860
Mailing address
PO Box 860
Rustburg, VA 24588-0860
Phone (434) 332-9585
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8740721 | Medicaid | VA |
Other providers in Rustburg, VA
- Emily Josephine Braunroth
- Bryanjprinzivalli
- Vallerie Burnell
- Joel M Burroughs
- Campbell County Board of Supervisors
- Campbell County Schools
- Central Virginia Family Physicians, Inc
- Nicole Stone Chalmers
- Deborah Cheek
- Crystal Nichols Clark
All providers in Rustburg, VA · Public Health or Welfare Agency in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.