NPIMap

Organization Active NPI

Commonwelath of Virginia State Board of Health

  • Public Health or Welfare Agency
  • Warsaw, VA
National Provider Identifier
1740243161
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COMMONWELATH OF VIRGINIA STATE BOARD OF HEALTH
Practice address
5591 Richmond Road
Warsaw, VA 22572-0700
Phone
(804) 758-2381
Fax
(804) 758-4828
NPI assigned
Apr 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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

Authorized official

Name
Ms. Sherry House
Title
Administrator
Phone
(804) 758-2381

Specialties & licenses 1

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

Addresses

Primary practice location

5591 Richmond Road
Warsaw, VA 22572-0700

Mailing address

PO Box 700
Warsaw, VA 22572-0700
Phone (804) 758-2381

Other identifiers 6

IdentifierTypeStateIssuer
41167OtherVAOPTIMAHEALTH
004975901MedicaidVA
41167OtherVAVETRI
8451176OtherVADORAL DENTAL
266553OtherVAANTHEM
1740243161OtherVAHUMANA GOLD CHOICE

Other names 1

  • RICHMOND COUNTY HEALTH DEPARMTENT 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
Commonwealth of VA State163 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

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1740243161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 700",
            "city": "WARSAW",
            "state": "VA",
            "postal_code": "225720700",
            "telephone_number": "804-758-2381",
            "fax_number": "804-758-4828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5591 RICHMOND ROAD",
            "city": "WARSAW",
            "state": "VA",
            "postal_code": "225720700",
            "telephone_number": "804-758-2381",
            "fax_number": "804-758-4828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWELATH OF VIRGINIA STATE BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-07",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "HOUSE",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "804-758-2381",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMAHEALTH",
            "identifier": "41167",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004975901",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VETRI",
            "identifier": "41167",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL DENTAL",
            "identifier": "8451176",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "266553",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA GOLD CHOICE",
            "identifier": "1740243161",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RICHMOND COUNTY HEALTH DEPARMTENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warsaw, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.