Commonwealth of Virginia State Board of Health
Organization Active NPI Public Health or Welfare Agency · Orange, VA
NPI 1871660100 · NPPES record last updated Mar 16, 2016
Key facts
- NPI
- 1871660100
- 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
- 450 Madison Rd
Orange, VA 22960-1085 - Phone
- (540) 672-1291
- Fax
- (540) 672-3109
- NPI assigned
- Nov 30, 2006
- Organization subpart
- No
Authorized official
- Name
- Dana McClelland
- Title
- Administrator
- Phone
- (540) 316-6303
Corporate family (same tax ID) 24
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled 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 |
National Provider Directory
- Tax ID family
- Commonwealth of VA State
Locations
640 Laurel St
Culpeper, VA 22701
Phone (540) 317-4116
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Yes |
Addresses
Primary practice location
450 Madison Rd
Orange, VA 22960-1085
Mailing address
640 Laurel St
Culpeper, VA 22701-3910
Phone (540) 317-4116
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4975804 | Medicaid | VA | |
| 49D0714359 | Other | VA | CLIA |
Other names
- Orange County Health Department
Other providers in Orange, VA
- Naa Oyoo Bruce
- Bruce D. Burtoff
- Lindsay Camplin
- Teneshia Renae Carter
- Karen Chapman
- Julia E. Connelly
- Amy A. Cooley
- Joseph Cornett
- County of Orange Virginia
- Meghan Courtney
All providers in Orange, 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 Mar 16, 2016. 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.