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COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH NPI 1851430821


NPI Information

NPI: 1851430821
Provider Name: COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH

Doing Business As: SOUTHWEST VIRGINIA CHILD DEVELOPMENT CLINIC

Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization
Address:
190 BEECH STREET
STE 102
GATE CITY, VA
ZIP 25251
Phone: (276) 386-1312
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COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH is a public health or welfare in Gate City, VA. COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH NPI is 1851430821. The provider is registered as an organization entity type.
The provider Is Doing Business As Southwest Virginia Child Development Clinic.

The provider's business location address is:

190 BEECH STREET
STE 102
GATE CITY, VA
ZIP 25251-623
Phone: (276) 386-1312
Fax: (276) 386-2116

The provider's authorized official is Eleanor S. Cantrell .
The authorized official title is Health Director and has the following contact phone number (276) 328-8000.

The enumeration date for this NPI number is 2/6/2007 and was last updated on 9/12/2013.


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
11346218914MEDICARE UPINVIRGINIA

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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