Organization 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
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
0101021588 Issued in VA
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
004975294MedicaidVA

Other names 1

  • Bath 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
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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.