Commonwealth of Virginia State Board of Health
Organization Active NPI Public Health or Welfare Agency · Milford, VA
NPI 1851332746 · NPPES record last updated Jun 13, 2011
Key facts
- NPI
- 1851332746
- 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
- 17202 Richmond Turnpike
Milford, VA 22514-2211 - Phone
- (804) 633-5465
- Fax
- (804) 633-6349
- NPI assigned
- Jun 9, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Brooke W Rossheim, M.D., M.H.P.
- Title
- Director
- Phone
- (540) 899-4797
Other NPIs on the same Medicare enrollment 45
Corporate family (same tax ID) 24
Practitioners 2
-
Olugbenga O Obasanjo, MBBS MPH PHD FACPM
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Tax ID family
- Commonwealth of VA State
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | |||
| Public Health or Welfare Agency | 251K00000X | VA | Yes |
Addresses
Primary practice location
17202 Richmond Turnpike
Milford, VA 22514-2211
Mailing address
608 Jackson Street
Fredericksburg, VA 22401-5719
Phone (540) 899-4797
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 266519 | Other | VA | ANTHEM-HK |
| 004975367 | Other | VA | VIRGINIA PREMIER |
| 000030333 | Other | VA | MEDICAID-SLH |
| 26965 | Other | VA | OPTIMA |
| 418738 | Other | VA | SOUTHERN HEALTH |
| 004975367 | Medicaid | VA | |
| 45731 | Other | VA | CARENET |
Other names
- Caroline County Health Department
Other providers in Milford, VA
- Christopher Eugene Biddix
- Trisha Brock
- Paige Jane Carter
- Central Virginia Health Services Inc
- David John Coe
- Commonwealth of Virginia State Board of Health
- Claire-Madeline Corso
- Neumiro Dasilva
- Joelle Dimicele
- Kathleen Habig
All providers in Milford, 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 Jun 13, 2011. 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.