Commonwealth of Virginia State Board of Health
Organization Active NPI Public Health or Welfare Agency · Charles City, VA
NPI 1306948112 · NPPES record last updated Aug 22, 2008
Key facts
- NPI
- 1306948112
- 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
- 7501 Adkins Rd
Charles City, VA 23030-3020 - Phone
- (804) 829-2490
- Fax
- (804) 829-6702
- NPI assigned
- Sep 2, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Carol Lien
- Title
- Supervisor
- Phone
- (804) 829-2490
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 | Yes |
Addresses
Primary practice location
7501 Adkins Rd
Charles City, VA 23030-3020
Mailing address
7501 Adkins Rd
Charles City, VA 23030-3020
Phone (804) 829-2490
Other names
- Charles City County Health Department
Other providers in Charles City, VA
- Vanessa Bowen
- April Breen
- Central Virginia Health Services Inc
- Charles City County Board of Supervisors
- Charles City County Public Schools
- Devil Dog Ranch
- Ellen T Fleenor
- Karen E Fox
- Paige Hennis
- Indian Health Service Richmond Service Unit
All providers in Charles City, 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 Aug 22, 2008. 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.