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COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH NPI 1528002235


NPI Information

NPI: 1528002235
Provider Name: COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH

Doing Business As: CARROLL COUNTY HEALTH DEPT

Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization

CLIA Number: 49D2195770

Address:
605 15 PINE STREET
HILLSVILLE, VA
ZIP 24343
Phone: (276) 730-3180
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COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH is a public health or welfare in Hillsville, VA. COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH NPI is 1528002235. The provider is registered as an organization entity type.
The provider Is Doing Business As Carroll County Health Dept.

The provider's business location address is:

605 15 PINE STREET
HILLSVILLE, VA
ZIP 24343
Phone: (276) 730-3180
Fax: (276) 730-3185

The provider's authorized official is Anna H Stevens .
The authorized official title is Business Manager and has the following contact phone number (276) 781-7450.

The CLIA number assigned to this NPI record is 49D2195770 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/15/2006 and was last updated on 8/26/2008.


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
1251K00000XPublic Health or WelfareYes

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
1004975375MEDICAIDVIRGINIA
200V648C68MEDICARE PINVIRGINIA
300V647C68MEDICARE PINVIRGINIA
400V646C68MEDICARE PINVIRGINIA
5C08868MEDICARE PINVIRGINIA
6005631C68MEDICARE PINVIRGINIA
7600936267MEDICARE PINVIRGINIA

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

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