Commonwealth of Virginia State Board of Health
Organization Active NPI Public Health or Welfare Agency · Floyd, VA
NPI 1164536652 · NPPES record last updated Sep 14, 2022
Key facts
- NPI
- 1164536652
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Public Health or Welfare Agency 251K00000X
- Legal business name
- COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
- Practice address
- 123 Parkview Rd NE
Floyd, VA 24091-3809 - Phone
- (540) 381-7100
- NPI assigned
- Aug 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Noelle Bissell, MD
- Title
- Health Director
- Phone
- (540) 381-7100
Other NPIs with the same Medicare PAC ID 9
Corporate family (same tax ID) 24
Practitioners 13
-
Noelle S Bissell, MD
-
Tracey Lyn Avery-Geter, N.P.
-
Heather Thomas Carter, FNP-C
-
Rita Lambert Childress, FNPC
-
Natasha Dwamena, M.D.
-
Randall Keith Falls, M.D.
-
Kerry Wix Gateley, M.D.
-
Alton Hart Jr., M.D.
-
Julie Thomas Parks, NP-C
-
Lydia Dunaway Shelton, M.S.N.,WHNP,FNP
-
Scott J Spillmann, MD, MPH
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110614000402 | VA | Part B Supplier - Public Health/Welfare Agency | 0547174369 |
Receives reassigned benefits from 1 practitioner Practice locations: Floyd, VA |
National Provider Directory
- Tax ID family
- Commonwealth of VA State
Locations
203 S Locust St
Ste M
Floyd, VA 24091
123 Parkview Rd NE
Floyd, VA 24091
Phone (540) 381-7100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Yes | ||
| State or Local Public Health Clinic/Center | 261QP0905X |
Addresses
Primary practice location
123 Parkview Rd NE
Floyd, VA 24091-3809
Mailing address
123 Parkview Rd NE
Floyd, VA 24091-3809
Phone (540) 381-7100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004975481 | Medicaid | VA |
Other names
- Floyd County Health Department
Other providers in Floyd, VA
- Carilion Giles Community Hospital
- Carilion Healthcare Corporation
- Brittany Carr
- Collins Chiropractic Clinic
- Garry Madison Collins
- Joseph Howard Conduff Jr.
- Justin Neal Conduff
- Richard W Davidson
- Tara Daystar
- Decoding Relationships
All providers in Floyd, 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 Sep 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.