COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH (NPI# 1144298142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144298142 |
| Entity Type | Organization |
| Organization Name | COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH |
| Other Organization Name | HAMPTON HEALTH DEPARTMENT |
| Practice Address |
3130 Victoria Blvd Hampton VA 23661-1544 |
| Practice Telephone | 7577271172 |
| Practice Fax Number | 7577271185 |
| Mailing Telephone | 7577271172 |
| Mailing Fax Number | 7577271185 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2008-09-19 |
| Authorized Official Name | DR. SAMUEL W BERG (DISTRICT DIRECTOR) |
| Authorized Official Telephone | 7577271172 |
| Authorized Official Credential | M.D., M.P.H. |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 0036501 | 05 | |
| VA | SENTARA HEALTH PROVIDER # | 47211 | 01 |
| VA | 004975014 | 05 | |
| VA | ANTHEM PROVIDER NUMBER | 089265 | 01 |
| VA | VIRGINIA PREMIER PROVID # | 84962 | 01 |
| Other Name | Type Code |
|---|---|
| Hampton Health Department | 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 |
3130 VICTORIA BLVD |
| City | HAMPTON |
| State | VA |
| Zip Code | 23661-1544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184813768 | Gayle Johnson | Nurse Practitioner | 3130 Victoria Blvd, Hampton, VA 23661-1544 | 2007-10-18 |
| 1275659690 | Virginia Department of Health | Pharmacist | 3130 Victoria Blvd, Hampton, VA 23661-1544 | 2007-03-21 |
| 1356319677 | Joseph Edward Manno | Pharmacist | 3130 Victoria Blvd, Hampton, VA 23661-1544 | 2006-03-11 |
| 1659349017 | Samuel William Berg II | Internal Medicine | 3130 Victoria Blvd, Hampton, VA 23661-1544 | 2006-03-10 |
| 1720056005 | Charles Ambrose Rend | Obstetrics & Gynecology | 3130 Victoria Blvd, Hampton, VA 23661-1544 | 2006-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346852639 | Britteny Nicole Stone-joel | Nurse Practitioner | 614 Rolfe Street, Hampton, VA 23661 | 2020-08-19 |
| 1629408521 | Julie Elizabeth Hoegger | Nurse Practitioner | 77 Nealy Avenue, 633d Medical Group, Joint Base Langley-eustis, VA 23661 | 2013-11-14 |
| 1548594435 | Haley Durrette Logan | Chiropractor | 593 Aberdeen Rd, Hampton, VA 23661 | 2009-09-24 |
| 1003347535 | Angela Mcdowell | Social Worker | 701 Howmet Dr Ste 160, Hampton, VA 23661-1001 | 2017-03-26 |
| 1487276200 | Family Restoration Services | Community/Behavioral Health | 701 Howmet Dr Ste 160, Hampton, VA 23661-1001 | 2020-05-14 |
| 1033231279 | United & Empowered Care, Inc. | Skilled Nursing Facility | 916 Glenrock Dr, Hampton, VA 23661-1017 | 2007-04-06 |
| 1235771536 | Valencia Jackson | Registered Nurse | 914 Thornbriar Ct, Hampton, VA 23661-1026 | 2019-10-08 |
| 1881107589 | Helping Everyone Live Progressively, LLC | Clinic/Center | 703 Howmet Dr Ste A, Hampton, VA 23661-1093 | 2017-11-16 |
| 1649315011 | Versability Resources, Inc. | Intermediate Care Facility, Mentally Retarded | 2520 58th Street, Hampton, VA 23661-1228 | 2007-02-21 |
| 1922015577 | Versability Resources, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2520 58th St, Hampton, VA 23661-1228 | 2006-08-02 |
| Find all providers in zip 23661 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326690967 | Dr. Catherine Batton Od, LLC | Clinic/Center | 5001 Holt Ave, Hampton, VA 23666-2282 | 2019-07-14 |
| 1821516790 | Mh 102, PC | Clinic/Center | 2238 Todds Ln, Hampton, VA 23666-3159 | 2017-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437167 | Asoufy Therapy Services, Pllc | Clinic/Center | 916 Saint Andrews Reach Apt A, Chesapeake, VA 23320-8587 | 2020-11-05 |
| 1710594932 | Healthy Advocate | Clinic/Center | 5904 Carrington Green Ct, Glen Allen, VA 23060-3439 | 2020-09-30 |
| 1518573864 | Yi's Acupuncture Clinic,inc. | Clinic/Center | 4216 Evergreen Ln Ste 112, Annandale, VA 22003-3253 | 2020-09-22 |
| 1770191660 | Treasure Health Inc | Clinic/Center | 6000 Stevenson Ave Ste F, Alexandria, VA 22304-3563 | 2020-07-17 |
| 1003443359 | Henry A Mccleary Dc LLC | Clinic/Center | 2239c Tacketts Mill Dr, Woodbridge, VA 22192-3026 | 2020-03-26 |
| 1962044420 | Alice Tseng Od Optometrist Pllc | Clinic/Center | 6211 Leesburg Pike, Falls Church, VA 22044-2107 | 2019-10-16 |
| 1164080057 | Hao Health and Healing LLC | Clinic/Center | 12011 Lee Jackson Memorial Hwy Ste 320, Fairfax, VA 22033-3310 | 2019-06-05 |
| 1245897941 | Metropolitan Medical | Clinic/Center | 3046 Valley Ave Ste 100, Winchester, VA 22601-2679 | 2019-05-29 |
| 1942768692 | Medsquare LLC | Clinic/Center | 8575a Sudley Rd, Manassas, VA 20110-3811 | 2019-03-12 |
| 1770055410 | Caring Hearts Free Clinic of Patrick County | Clinic/Center | 835 Woodland Dr Ste 101, Stuart, VA 24171-1586 | 2018-12-19 |
| Find all providers with the same taxonomy | ||||
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| 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.