Commonwealth of Virginia State Board of Health
Organization Active NPI Public Health or Welfare Agency · Warrenton, VA
NPI 1467542480 · NPPES record last updated Mar 16, 2016
Key facts
- NPI
- 1467542480
- 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
- 330 Hospital Dr
Suite 101
Warrenton, VA 20186-3006 - Phone
- (540) 347-6400
- Fax
- (540) 347-6405
- NPI assigned
- Oct 13, 2006
- Organization subpart
- No
Authorized official
- Name
- Dana McClelland
- Title
- Administrator
- Phone
- (540) 316-6303
Corporate family (same tax ID) 24
Practitioners 5
-
Robert Dana Bradshaw, MD, MPH
-
Bonnie Jay Darrell, CNP
-
Lilian R Peake, M.D., M.P.H.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled 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 |
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
330 Hospital Dr
Suite 101
Warrenton, VA 20186-3006
Mailing address
640 Laurel St
Culpeper, VA 22701-3910
Phone (540) 317-4116
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4975472 | Medicaid | VA | |
| 49D0714359 | Other | VA | CLIA |
Other names
- Fauquier County Health Department
Other providers in Warrenton, VA
- Catherine Baer Coleman
- Erica Danielle Coleman
- Jean Coleman
- Commonwealth Medical Labs Inc.
- Commonwealth Obstetrics Gynecology PC
- Compass Carelink Home Health
- Sherry Conlin
- Tracie Conner
- Catherine Lucy Connors
- Elizabeth Agnes Conolly
All providers in Warrenton, 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 Mar 16, 2016. 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.