COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH NPI 1114015716

NPI Information

COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH is a public health and state or local clinic center in Bristol, VA. COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH NPI is 1114015716. The provider is registered as an organization entity type.
The provider Is Doing Business As Southwest Virginia Care Connection For Children.

The provider's business location address is:

15068 LEE HWY
SUITE 900
BRISTOL, VA
ZIP 24202-263
Phone: (276) 645-4900
Fax: (276) 645-4913

The provider's authorized official is Vanessa Walker-harris .
The authorized official title is Director Of Office Of Family Health and has the following contact phone number (804) 864-7170.

The enumeration date for this NPI number is 10/10/2006 and was last updated on 1/26/2016.

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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