NPIMap

Organization Active NPI

Commonwealth of Virginia State Board of Health

  • Public Health or Welfare Agency
  • Charlottesville, VA
National Provider Identifier
1710993530
Registry record updated Apr 20, 2015
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
Practice address
1138 Rose Hill Dr
Charlottesville, VA 22903-5128
Phone
(434) 972-6219
Fax
(434) 972-4310
NPI assigned
Aug 1, 2006
Organization subpart
Yes
Parent organization
COMMONWEALTH OF VIRGINIAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2015

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

Authorized official

Name
Denise E. Bonds, M.D., MPH
Title
Health Director
Phone
(434) 972-6219

Specialties & licenses 1

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

Addresses

Primary practice location

1138 Rose Hill Dr
Charlottesville, VA 22903-5128

Mailing address

PO Box 7546
Charlottesville, VA 22906-7546
Phone (434) 972-6219

Other identifiers 3

IdentifierTypeStateIssuer
266539OtherVAANTHEM OF VIRGINIA
42009OtherVAOPTIMA FAMILY CARE
004975227MedicaidVA

Other names 1

  • Charlottesville Albemarle Health Department Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

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
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…

Other NPIs on the same Medicare enrollment 45

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 45

National Provider Directory

National Provider Directory
Part of
Commonwealth of VA State

Locations

1138 Rose Hill Dr
Charlottesvle, VA 22903
Phone (434) 972-6200

132 Main St
Palmyra, VA 22963
Phone (434) 591-1910

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1710993530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7546",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229067546",
            "telephone_number": "434-972-6219",
            "fax_number": "434-972-4310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 ROSE HILL DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229035128",
            "telephone_number": "434-972-6219",
            "fax_number": "434-972-4310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMONWEALTH OF VIRGINIA",
        "enumeration_date": "2006-08-01",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "BONDS",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "434-972-6219",
        "authorized_official_credential": "M.D., MPH"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM OF VIRGINIA",
            "identifier": "266539",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA FAMILY CARE",
            "identifier": "42009",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004975227",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charlottesville Albemarle Health Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; 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.