Commonwealth of Virginia State Board of Health
Organization Active NPI Public Health or Welfare Agency · Marion, VA
NPI 1376587089 · NPPES record last updated Aug 26, 2008
Key facts
- NPI
- 1376587089
- 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
- 201 Francis Marion Lane
Marion, VA 24354 - Phone
- (276) 781-7460
- Fax
- (276) 781-7465
- NPI assigned
- Jun 15, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Authorized official
- Name
- Anna H Stevens
- Title
- Business Manager
- Phone
- (276) 781-7450
Other NPIs on the same Medicare enrollment 45
Practitioners 1
-
Sherrie Jeaniene Doss, DNP, WHNP, CNM
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) 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 |
| O20040206000622 | VA | Part B Supplier - Clinic/Group Practice | 0547174369 |
Receives reassigned benefits from 30 practitioners 45 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Independence, VA; Prince George, VA; Jonesville, VA; Lawrenceville, VA; Lebanon, VA; Louisa, VA; Lynchburg, VA; Marion, VA… |
National Provider Directory
- Part of
- Commonwealth of VA State
Locations
201 Francis Marion Ln
Marion, VA 24354
Phone (276) 781-7450
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Yes |
Addresses
Primary practice location
201 Francis Marion Lane
Marion, VA 24354
Mailing address
201 Francis Marion Lane
Marion, VA 24354
Phone (276) 781-7460
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004975944 | Medicaid | VA |
Other names
- smyth county health department
Other providers in Marion, VA
- Nicole Albano Clark
- Anthony Clary
- Clyburn Physician Services LLC
- Codex Psychological and Forensic Services
- Breanna Coley
- Patricia B. Conklin
- Connections Counseling, PLLC
- Denisha Renee Cook
- Noah Christian Cook
- Shannon Renee Cook
All providers in Marion, 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 26, 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.