Active NPI
Commonwealth of Virginia State Board of Health
Doing business as Bath County Health Department
- Public Health or Welfare Agency
- Warm Springs, VA
National Provider Identifier
1356354963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- License
- 0101021588
- Legal business name
- COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
- Doing business as
- Bath County Health Department
- Practice address
- 51 Courthouse Hill Road
Warm Springs, VA 24484-0120 - Phone
- (540) 839-7246
- Fax
- (540) 839-2964
- NPI assigned
- Aug 14, 2006
- Last updated
- Aug 2, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kimberly W Habel
- Title
- Office Service Supervisor Senior
- Phone
- (540) 839-7246
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | 0101021588 | VA | Primary |
Addresses
Primary practice location
51 Courthouse Hill Road
Warm Springs, VA 24484-0120
Mailing address
Court House Square
P O Box 120
Warm Springs, VA 24484
Phone (540) 839-7246
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004975294 | Medicaid | VA |
Other names 1
- Bath County Health Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| 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
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Infectious Disease Physician
- Fishersville, VA
- NPI 1639355241
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1312243200000",
"number": "1356354963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "COURT HOUSE SQUARE",
"address_2": "P O BOX 120",
"city": "WARM SPRINGS",
"state": "VA",
"postal_code": "24484",
"telephone_number": "540-839-7246",
"fax_number": "540-839-2964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 COURTHOUSE HILL ROAD",
"city": "WARM SPRINGS",
"state": "VA",
"postal_code": "244840120",
"telephone_number": "540-839-7246",
"fax_number": "540-839-2964"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-14",
"last_updated": "2011-08-02",
"status": "A",
"authorized_official_last_name": "HABEL",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OFFICE SERVICE SUPERVISOR SENIOR",
"authorized_official_telephone_number": "540-839-7246",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "VA",
"license": "0101021588",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004975294",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Bath County Health Department",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Warm Springs, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; 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.