COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH NPI 1376595785

NPI Information

COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH is a public health or welfare in Roanoke, VA. COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH NPI is 1376595785. The provider is registered as an organization entity type.
The provider Is Doing Business As Roanoke City Health Department.

The provider's business location address is:

1502 WILLIAMSON RD NE
SECOND FLOOR
ROANOKE, VA
ZIP 24012-130
Phone: (540) 283-5050
Fax: (540) 857-7316

The provider's authorized official is Vivian Penn-timity .
The authorized official title is Business Manager and has the following contact phone number (540) 204-9718.

The CLIA number assigned to this NPI record is 49D0888805 - other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/16/2006 and was last updated on 7/20/2012.

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:

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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