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COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH NPI 1982679874


NPI Information

NPI: 1982679874
Provider Name: COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH

Doing Business As: ISLE OF WIGHT HEALTH DEPARTMENT

Classification: Clinic/Center - 261QP0905X
Entity Type: Organization

Specialization: Public Health, State or Local

Address:
919 S CHURCH ST
SMITHFIELD, VA
ZIP 23430
Phone: (757) 357-4177
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COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH is a public health and state or local clinic center in Smithfield, VA. COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH NPI is 1982679874. The provider is registered as an organization entity type.
The provider Is Doing Business As Isle Of Wight Health Department.

The provider's business location address is:

919 S CHURCH ST
SMITHFIELD, VA
ZIP 23430-715
Phone: (757) 357-4177
Fax: (757) 357-2838

The provider's authorized official is Angela Yvette Tillery .
The authorized official title is Business Manager and has the following contact phone number (757) 514-4765.

The enumeration date for this NPI number is 2/22/2006 and was last updated on 5/23/2011.


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
1261QP0905XClinic/CenterPublic Health, State or LocalYes

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
14975618OTHERCLINIC
2008770310MEDICAIDVIRGINIA
38450811MEDICAIDVIRGINIA
4008700656OTHERVIRGINIAPERSONAL CARE
5600000007MEDICARE ID-TYPE UNSPECIFIEDCLINIC

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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