COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH NPI 1295795078

NPI Information

NPI: 1295795078
Provider Name: COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH

Other Name: PORTSMOUTH HEALTH DISTRICT

Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization
Address:
1701 HIGH STREET
SUITE 102
PORTSMOUTH, VA
ZIP 23704
Phone: (757) 393-8585
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COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH is a public health or welfare in Portsmouth, VA. COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH NPI is 1295795078. The provider is registered as an organization entity type.
The provider Other Name Is Portsmouth Health District.

The provider's business location address is:

1701 HIGH STREET
SUITE 102
PORTSMOUTH, VA
ZIP 23704
Phone: (757) 393-8585
Fax: (757) 393-8027

The provider's authorized official is David Chang .
The authorized official title is Health Director and has the following contact phone number (757) 393-8582.

The enumeration date for this NPI number is 3/24/2006 and was last updated on 3/2/2012.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251K00000X	Public Health or Welfare			VIRGINIA	Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	49-7512-0	MEDICAID	VIRGINIA
2	600699130	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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