Organization Active NPI

Commonwealth of Virginia State Board of Health

  • Public Health or Welfare Agency
  • Harrisonburg, VA
National Provider Identifier
1023028909
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
01010215188 Issued in VA
Legal business name
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Practice address
110 N Mason St
Harrisonburg, VA 22802-4109
Phone
(540) 574-5100
Fax
(540) 574-5214
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Kimberly W Habel
Title
Office Service Supervisor Senior
Phone
(540) 332-7830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 01010215188 VA Primary

Addresses

Primary practice location

110 N Mason St
Harrisonburg, VA 22802-4109

Mailing address

110 N Mason St
P O Box 26
Harrisonburg, VA 22803-4109
Phone (540) 574-5100

Other identifiers 2

IdentifierTypeStateIssuer
008450935MedicaidVA
004976533MedicaidVA

Other names 1

  • Harrisonburg Rockingham Health Department Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031117000414 VA Part B Supplier - Public Health/Welfare Agency 0547174369 Receives reassigned benefits from 6 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312243200000",
    "number": "1023028909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N MASON ST",
            "address_2": "P O BOX 26",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228034109",
            "telephone_number": "540-574-5100",
            "fax_number": "540-574-5214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N MASON ST",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228024109",
            "telephone_number": "540-574-5100",
            "fax_number": "540-574-5214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2011-08-02",
        "status": "A",
        "authorized_official_last_name": "HABEL",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OFFICE SERVICE SUPERVISOR SENIOR",
        "authorized_official_telephone_number": "540-332-7830",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "VA",
            "license": "01010215188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008450935",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004976533",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harrisonburg Rockingham Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harrisonburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.