NPIMap

Organization Active NPI

Commonwealth of Virginia State Board of Health

Doing business as Buckingham County Health Department

  • Public Health or Welfare Agency
  • Buckingham, VA
National Provider Identifier
1740386457
Registry record updated Sep 21, 2010
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
Doing business as
Buckingham County Health Department
Practice address
13360 West James Anderson Hwy
Buckingham, VA 23921-0198
Phone
(434) 969-4244
Fax
(434) 696-1292
NPI assigned
Sep 16, 2006
Last updated
Sep 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2010

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

Authorized official

Name
Dr. Alexander P Samuel, M.D.
Title
District Health Director
Phone
(434) 392-3984

Specialties & licenses 1

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

Addresses

Primary practice location

13360 West James Anderson Hwy
Buckingham, VA 23921-0198

Mailing address

PO Box 198
Buckingham, VA 23921-0198
Phone (434) 969-4244

Other identifiers 1

IdentifierTypeStateIssuer
4975341MedicaidVA

Other names 1

  • Buckingham County Health Department 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
Cville Albemarle Health163 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

Locations

13360 W James Anderson Hwy
Buckingham, VA 23921
Phone (434) 969-4244

80 Administration Dr
Buckingham, VA 23921
Phone (434) 969-4244

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285027200000",
    "number": "1740386457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198",
            "city": "BUCKINGHAM",
            "state": "VA",
            "postal_code": "239210198",
            "telephone_number": "434-969-4244",
            "fax_number": "434-969-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13360 WEST JAMES ANDERSON HWY",
            "city": "BUCKINGHAM",
            "state": "VA",
            "postal_code": "239210198",
            "telephone_number": "434-969-4244",
            "fax_number": "434-696-1292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2010-09-21",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DISTRICT HEALTH DIRECTOR",
        "authorized_official_telephone_number": "434-392-3984",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4975341",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buckingham County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buckingham, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; 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.