NPIMap

Organization Active NPI

Commonwealth of Virginia State Board of Health

  • Public Health or Welfare Agency
  • Goochland, VA
National Provider Identifier
1831292325
Registry record updated Aug 22, 2008
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
1800 Sandyhook Rd
Goochland, VA 23063-0178
Phone
(804) 556-5843
Fax
(804) 556-3707
NPI assigned
Sep 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2008

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

Authorized official

Name
William T Tweel Jr., MD
Title
District Director
Phone
(804) 556-5843

Specialties & licenses 1

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

Addresses

Primary practice location

1800 Sandyhook Rd
Goochland, VA 23063-0178

Mailing address

PO Box 178
1800 Sandyhook Rd
Goochland, VA 23063-0178
Phone (804) 556-5843

Other identifiers 1

IdentifierTypeStateIssuer
004975537MedicaidVA

Other names 1

  • Goochland County Health Dept 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

Locations

1800 Sandy Hook Rd
Goochland, VA 23063
Phone (804) 556-5843

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219363200000",
    "number": "1831292325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 178",
            "address_2": "1800 SANDYHOOK RD",
            "city": "GOOCHLAND",
            "state": "VA",
            "postal_code": "230630178",
            "telephone_number": "804-556-5843",
            "fax_number": "804-556-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SANDYHOOK RD",
            "city": "GOOCHLAND",
            "state": "VA",
            "postal_code": "230630178",
            "telephone_number": "804-556-5843",
            "fax_number": "804-556-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2008-08-22",
        "status": "A",
        "authorized_official_last_name": "TWEEL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DISTRICT DIRECTOR",
        "authorized_official_telephone_number": "804-556-5843",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004975537",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goochland County Health Dept",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Goochland, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; 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.