COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH NPI 1053386979

NPI Information

COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH is a public health and state or local clinic center in Courtland, VA. COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH NPI is 1053386979. The provider is registered as an organization entity type.
The provider Is Doing Business As Southampton County Health Department.

The provider's business location address is:

26022 ADMINISTRATIVE CENTER DRIVE
COURTLAND, VA
ZIP 23837-009
Phone: (757) 653-3040
Fax: (757) 653-0834

The provider's authorized official is Angela Yvette Tillery .
The authorized official title is Business Manager and has the following contact phone number (757) 514-4765.

The enumeration date for this NPI number is 2/22/2006 and was last updated on 6/9/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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