NPIMap

Organization Active NPI

Commonwealth of Virginia State Board of Health

Doing business as Middlesex County Health Department

  • Public Health or Welfare Agency
  • Saluda, VA
National Provider Identifier
1073576419
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Doing business as
Middlesex County Health Department
Practice address
2780 General Puller Hwy
Saluda, VA 23149-3112
Phone
(804) 758-2381
Fax
(804) 758-4828
NPI assigned
Apr 7, 2006
Last updated
Mar 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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

Authorized official

Name
Ms. Sherry House
Title
Administrator
Phone
(804) 758-2381

Specialties & licenses 1

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

Addresses

Primary practice location

2780 General Puller Hwy
Saluda, VA 23149-3112

Mailing address

PO Box 415
Saluda, VA 23149-0415
Phone (804) 758-2381

Other identifiers 5

IdentifierTypeStateIssuer
004975731MedicaidVA
999999999999OtherVADORAL
41158OtherVAVETRI
41158OtherVAOPTIMA
266544OtherVAANTHEM

Other names 1

  • MIDDLESEX COUNTY 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
Tax ID family
Cville Albemarle Health163 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 23

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 23

Locations

6373 Northumberland Hwy
Heathsville, VA 22473

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1073576419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415",
            "city": "SALUDA",
            "state": "VA",
            "postal_code": "231490415",
            "telephone_number": "804-758-2381",
            "fax_number": "804-758-4828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 GENERAL PULLER HWY",
            "city": "SALUDA",
            "state": "VA",
            "postal_code": "231493112",
            "telephone_number": "804-758-2381",
            "fax_number": "804-758-4828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-07",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "HOUSE",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "804-758-2381",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004975731",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL",
            "identifier": "999999999999",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VETRI",
            "identifier": "41158",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "41158",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "266544",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIDDLESEX COUNTY HEALTH DEPARTMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saluda, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; 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.