Commonwealth of Virginia State Board of Health
Organization Active NPI Public Health or Welfare Agency · Vinton, VA
NPI 1285685487 · NPPES record last updated Jul 20, 2012
Key facts
- NPI
- 1285685487
- 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
- 227 S Pollard St
Vinton, VA 24179-2529 - Phone
- (540) 857-7800
- Fax
- (540) 857-7529
- NPI assigned
- May 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Vivian Penn-Timity
- Title
- Business Manager
- Phone
- (540) 204-9718
Corporate family (same tax ID) 24
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Tax ID family
- Commonwealth of VA State
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | VA | Yes |
Addresses
Primary practice location
227 S Pollard St
Vinton, VA 24179-2529
Mailing address
PO Box 307
Vinton, VA 24179-0307
Phone (540) 857-7800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4976762 | Medicaid | VA |
Other names
- Roanoke County/Vinton Health Department
Other providers in Vinton, VA
- Bernard Carreon Cabatit
- Megan Marie Cisco
- CJS Medical
- Amelia Clay
- Deborah Lynn Cobourn
- Community Foot Care Center
- Amy L. Conforti
- Chrystal Cook
- Cundiff Drug Store Inc
- Danielle Davis
All providers in Vinton, 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 Jul 20, 2012. 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.