COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH (NPI# 1114015716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114015716 |
| Entity Type | Organization |
| Organization Name | COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH |
| Other Organization Name | SOUTHWEST VIRGINIA CARE CONNECTION FOR CHILDREN |
| Practice Address |
15068 Lee Hwy Suite 900 Bristol VA 24202-4263 |
| Practice Telephone | 2766454900 |
| Practice Fax Number | 2766454913 |
| Mailing Telephone | 2766454900 |
| Mailing Fax Number | 2766454913 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2016-01-26 |
| Authorized Official Name | VANESSA WALKER-HARRIS (DIRECTOR OF OFFICE OF FAMILY HEALTH) |
| Authorized Official Telephone | 8048647170 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMONWEALTH OF VIRGINIA STATE BD OF HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP0905X |
Clinic/Center Specialization: Public Health, State or Local |
VA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 004976550 | 05 |
| Other Name | Type Code |
|---|---|
| Southwest Virginia Care Connection for Children | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851430821 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 190 Beech Street, Ste 102, Gate City, VA 25251-3623 | 2007-02-06 |
| 1871660100 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 450 Madison Rd, Orange, VA 22960-1085 | 2006-11-30 |
| 1821188848 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 640 Laurel St, Culpeper, VA 22701-3910 | 2006-10-13 |
| 1649360660 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 491a Main Street, Washington, VA 22747-0005 | 2006-10-13 |
| 1972692143 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 400 E Cary St, Richmond, VA 23219-3816 | 2006-10-12 |
| 1346337979 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 4001 Prince William Pkwy, Suite 101, Woodbridge, VA 22192-7666 | 2006-10-06 |
| 1508951567 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 3810 Nine Mile Rd, Henrico, VA 23223-4848 | 2006-10-04 |
| 1669567632 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 7114 Lankford Highway, Nassawadox, VA 23413 | 2006-10-04 |
| 1548352602 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 365 Pell Ave, Rocky Mount, VA 24151 | 2006-09-28 |
| 1053417766 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 15 Foster Road, Cumberland, VA 23040-2645 | 2006-09-16 |
| Street Address |
15068 LEE HWY SUITE 900 |
| City | BRISTOL |
| State | VA |
| Zip Code | 24202-4263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891775193 | William Daryl Wilson | Dentist | 15068 Lee Hwy, Ste 1000 Washington Co Health Dept, Bristol, VA 24202 | 2006-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568977940 | Renaissance Medical Care | Family Medicine | 284 Blevins Boulevard, Bristol, VA 24202 | 2017-12-07 |
| 1467725879 | Leighton W Wood Dds Ms P.C. | Dentist | 103 Linden Square Drive, Bristol, VA 24202 | 2012-02-15 |
| 1285828640 | Sam's Club Optical | Eyewear Supplier (Equipment, not the service) | 13249 Lee Highway, Bristol, VA 24202 | 2007-08-29 |
| 1154462117 | Emdee Clinica, Pllc | Clinic/Center | 23164 Kestrel Dr, Bristol, VA 24202 | 2007-02-10 |
| 1053355859 | Commonweatlh of Virginia State Board of Health | Public Health or Welfare | 15068 Lee Highway, Suite 1000, Bristol, VA 24202 | 2006-06-15 |
| 1457832123 | Justin Scott Pennington | Physical Therapist | 136 Bristol East Rd, Bristol, VA 24202 | 2018-08-22 |
| 1588104335 | Timothy G. Mcgarry, Md, Pllc | Orthopaedic Surgery | 21371 Forsythe Rd, Bristol, VA 24202 | 2017-02-27 |
| 1669532560 | Washington Co Health Dept Dental Clinic | Dentist | 15068 Lee Highway, Suite 1000, Bristol, VA 24202 | 2006-12-11 |
| 1437568946 | Family Preservation Services, Inc | Community/Behavioral Health | 7741 Rich Valley Rd, Bristol, VA 24202-0439 | 2014-08-08 |
| 1669948519 | Jessica P. Brown | Speech-Language Pathologist | 4350 Gate City Hwy, Bristol, VA 24202-1204 | 2018-10-18 |
| Find all providers in zip 24202 | ||||
| Taxonomy Code | 261QP0905X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Public Health, State or Local |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487629374 | Commonwealth of Virginia State Board of Health | Clinic/Center | 135 Hall Avenue, Suite A, Suffolk, VA 23434-4657 | 2006-02-22 |
| 1720053648 | Commonwealth of Virginia State Board of Health | Clinic/Center | 200 Fairview Ave, Franklin, VA 23851-1216 | 2006-02-22 |
| 1053386979 | Commonwealth of Virginia State Board of Health | Clinic/Center | 26022 Administrative Center Drive, Courtland, VA 23837-0009 | 2006-02-22 |
| 1083611107 | Commonwealth of Virginia/state Board of Health | Clinic/Center | 416 J Clyde Morris Blvd, Newport News, VA 23601-1927 | 2005-07-05 |
| 1962588020 | Craig County Center | Clinic/Center | 230 Market Street, New Castle, VA 24127 | 2006-10-31 |
| 1336171164 | Director of Finance-county of Fairfax Va | Clinic/Center | 10777 Main St, Suite 202, Fairfax, VA 22030-6903 | 2006-07-06 |
| 1982679874 | Commonwealth of Virginia State Board of Health | Clinic/Center | 919 S Church St, Smithfield, VA 23430-1715 | 2006-02-22 |
Please comment or provide details below to improve the information on COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.