Commonwealth of Virginia State Board of Health
Organization Active NPI Public Health or Welfare Agency · Lynchburg, VA
NPI 1790745321 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1790745321
- 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
- 1900 Thomson Dr
Lynchburg, VA 24501-1009 - Phone
- (434) 947-6777
- Fax
- (434) 947-2338
- NPI assigned
- Mar 27, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Authorized official
- Name
- Dr. Kerry W Gateley, MD,MPH, CPE
- Title
- Director Central VA. Health Distict
- Phone
- (434) 477-5923
Other NPIs on the same Medicare enrollment 45
Practitioners 1
-
Deborah L Allen, FNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) 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 |
| 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… |
National Provider Directory
- Part of
- Commonwealth of VA State
Locations
307 Alleghany Ave
Lynchburg, VA 24501
Phone (434) 477-5955
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | VA | Yes |
Addresses
Primary practice location
1900 Thomson Dr
Lynchburg, VA 24501-1009
Mailing address
307 Alleghany Ave
Lynchburg, VA 24501-2605
Phone (434) 477-5923
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004975111 | Other | VA | VIRGINIA PREMIER |
| 61176 | Other | VA | CARENET |
| 004975111 | Medicaid | VA | |
| 003374 | Other | VA | ANTHEM |
| 18765 | Other | VA | OPTIMA |
Other names
- Lynchburg Health Department
Other providers in Lynchburg, VA
- Madison Collins
- Kimberly Kay Collurafici
- Kim H Combs
- Patrick Wayne Combs Jr.
- Steven Anthony Combs
- Commonwealth of Virginia State Department of Health
- Community Access Network
- Community Alternatives Virginia, Inc.
- Complexions of Central Virginia, Inc.
- Comprehensive Family Services, Inc.
All providers in Lynchburg, 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 Jul 21, 2022. 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.