Commonwealth of Virginia State Board of Health
Organization Active NPI Public Health or Welfare Agency · Leesburg, VA
NPI 1457450421 · NPPES record last updated Feb 6, 2017
Key facts
- NPI
- 1457450421
- 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
- 102 Heritage Way NE
1St Floor Suite #100
Leesburg, VA 20176 - Phone
- (703) 771-5830
- Fax
- (703) 771-5550
- NPI assigned
- Sep 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. David Goodfriend, MD
- Title
- Director
- Phone
- (703) 771-5829
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Commonwealth of VA State
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Yes |
Addresses
Primary practice location
102 Heritage Way NE
1St Floor Suite #100
Leesburg, VA 20176
Mailing address
PO Box 7000- MSC #68
Leesburg, VA 20177-7000
Phone (703) 771-5830
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0013769 | Medicaid | VA |
Other names
- Loudoun County Health Department-Dental Clinic
Other providers in Leesburg, VA
- Commonwealth Critical Care LLC
- Commonwealth Emergency Physicians PC
- Commonwealth Emergency Physicians PC
- Commonwealth Inpatient Physicians, LLC
- Commonwealth of Virginia State Board of Health
- Commonwealth Orthopaedics & Rehabilitation, PC
- Commonwealth Orthopaedics & Rehabilittion, PC
- Connections Health Center
- Connections Healthva-Loudoun LLC
- Connections Healthva-Loudoun LLC
All providers in Leesburg, 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 Feb 6, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.