NPIMap

Organization Active NPI

Commonwealth of Virginia State Board of Health

Doing business as Montgomery County Health Department

  • Public Health or Welfare Agency
  • Christiansburg, VA
National Provider Identifier
1306950753
Registry record updated Sep 14, 2022
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
Montgomery County Health Department
Practice address
210 Pepper St S
Suite a
Christiansburg, VA 24073-3571
Phone
(540) 381-7100
Fax
(540) 381-7108
NPI assigned
Aug 19, 2006
Last updated
Sep 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Authorized official

Name
Noelle Bissell, MDNPI 1861475311
Title
Health Director
Phone
(540) 381-7100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X NU Primary
State or Local Public Health Clinic/Center 261QP0905X NU

Addresses

Primary practice location

210 Pepper St S
Suite a
Christiansburg, VA 24073-3571

Mailing address

210 S Pepper Street
Suite a
Christiansburg, VA 24073-3522
Phone (540) 381-7100

Other identifiers 1

IdentifierTypeStateIssuer
004975146MedicaidVA

Other names 1

  • Montgomery 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
O20140521000762 VA Part B Supplier - Public Health/Welfare Agency 0547174369 Receives reassigned benefits from 1 practitioner
Practice locations: Christiansburg, VA

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Dickenson Co Health Dep163 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

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

View all 24

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1306950753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S PEPPER STREET",
            "address_2": "SUITE A",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240733522",
            "telephone_number": "540-381-7100",
            "fax_number": "540-381-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 PEPPER ST S",
            "address_2": "SUITE A",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240733571",
            "telephone_number": "540-381-7100",
            "fax_number": "540-381-7108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "BISSELL",
        "authorized_official_first_name": "NOELLE",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "540-381-7100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004975146",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montgomery County Health Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Montgomery County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Christiansburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.