Commonwealth of Virginia State Board of Health

Organization Active NPI Public Health or Welfare Agency · Chesterfield, VA

NPI 1215031497 · NPPES record last updated Jul 28, 2008

Key facts

NPI
1215031497
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
9501 Lucy Corr Cir
Suite 404
Chesterfield, VA 23832-6697
Phone
(804) 748-1752
Fax
(804) 751-4497
NPI assigned
Sep 11, 2006
Organization subpart
No

Authorized official

Name
Dr. William R Nelson, M.D.,MPH
Title
District Health Director
Phone
(804) 751-4385

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Commonwealth of VA State (163 organizations share this tax ID)

Locations

9501 Lucy Corr Cir
Ste 404
Chesterfield, VA 23832
Phone (804) 748-1752

Specialties & licenses

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

Addresses

Primary practice location

9501 Lucy Corr Cir
Suite 404
Chesterfield, VA 23832-6697

Mailing address

PO Box 100
Chesterfield, VA 23832-0002
Phone (804) 751-1743

Other identifiers

IdentifierTypeStateIssuer
107016OtherVAANTHEM BC BS OF VA
008450161MedicaidVA
0007461OtherDORAL DENTAL USA

Other names

  • Chesterfield County Health Department Dental Clinic Doing business as

Other providers in Chesterfield, VA

All providers in Chesterfield, VA · Public Health or Welfare Agency in Virginia

Sources for this page

Verify at the official NPI Registry.