NPIMap

Organization Active NPI

Commonwealth of Virginia State Board of Health

Doing business as Powhatan County Health Department

  • Public Health or Welfare Agency
  • Powhatan, VA
National Provider Identifier
1366462137
Registry record updated May 29, 2012
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
Powhatan County Health Department
Practice address
3908 Old Buckingham Rd
Suite 1
Powhatan, VA 23139-5753
Phone
(804) 598-5680
Fax
(804) 598-5688
NPI assigned
Jul 21, 2006
Last updated
May 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2012

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

Authorized official

Name
Ms. Paulette A Moore
Title
Business Manager
Phone
(804) 748-1630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

3908 Old Buckingham Rd
Suite 1
Powhatan, VA 23139-5753

Mailing address

3908 Old Buckingham Rd
Suite 1
Powhatan, VA 23139-5753
Phone (804) 598-5680

Other names 1

  • Powhatan 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
Tax ID family
Cville Albemarle Health163 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

Locations

3908 Old Buckingham Rd
Powhatan, VA 23139
Phone (804) 598-5637

3908 Old Buckingham Rd
Ste 1
Powhatan, VA 23139
Phone (804) 598-5680

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338249600000",
    "number": "1366462137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3908 OLD BUCKINGHAM RD",
            "address_2": "SUITE 1",
            "city": "POWHATAN",
            "state": "VA",
            "postal_code": "231395753",
            "telephone_number": "804-598-5680",
            "fax_number": "804-598-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3908 OLD BUCKINGHAM RD",
            "address_2": "SUITE 1",
            "city": "POWHATAN",
            "state": "VA",
            "postal_code": "231395753",
            "telephone_number": "804-598-5680",
            "fax_number": "804-598-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2012-05-29",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "804-748-1630",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Powhatan County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Powhatan, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; 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.