COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH


Address: 1030 Cowford Road, Halifax, VA 24558
Phone: 4344764863

COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH (NPI# 1629029483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629029483
Entity Type Organization
Organization Name COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Other Organization Name HALIFAX COUNTY HEALTH DEPARTMENT
Practice Address 1030 Cowford Road
Halifax
VA 24558
Mailing Address Po Box 845
Halifax
VA 24558-0845
Practice Telephone 4344764863
Practice Fax Number 4344764869
Mailing Telephone 4347386545
Mailing Fax Number 4347386295
Enumeration Date 2006-05-15
Last Update Date 2018-06-25
Authorized Official Name DR. SCOTT J SPILLMANN (DIRECTOR)
Authorized Official Telephone 4347386545
Authorized Official Credential MD, MPH
Is Organization Subpart Y
Parent Organization Name COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251K00000X Public Health or Welfare 1010243863 VA Agencies

Other Provider Identifier

State Issuer Identifier Type Code
VA 4975570 05
VA OPTIMA 25574 01
VA ANTHEM BCBS 266537 01
VA 005840686 05
VA 004975570 05

Other Provider/Organization Names

Other Name Type Code
Halifax County Health Department Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 1030 COWFORD ROAD
City HALIFAX
State VA
Zip Code 24558

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992824031 Halifax County Department of Social Services Public Health or Welfare 1030 Cowford Road, Mary Bethune Office Complex, Halifax, VA 24558 2007-03-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962002279 Life Services &transportation Inc. Non-emergency Medical Transport (VAN) 2075 Mountain Road, Halifax, VA 24558 2020-10-27
1154546869 Richard Benjamin Bradley Jr. Dentist 187 South Main St, Halifax, VA 24558 2007-04-16
1336224815 Herman Lee Thomas Jr. Registered Nurse 2129 Oak Level Rd, Halifax, VA 24558 2006-10-25
1235175795 Home Care Alliance of Virginia Inc Durable Medical Equipment & Medical Supplies 5037 Halifax Rd, Suite A, Halifax, VA 24558 2006-06-22
1326089095 Francis Barnes Mitchell Family Medicine 235 N Main St, Halifax, VA 24558 2006-06-10
1073786356 Halifax Clinic Inc Family Medicine 235 N Main St, Halifax, VA 24558 2008-04-08
1144388166 Marlise Blanks Crowe Pharmacist 4121 Halifax Road, Halifax, VA 24558 2006-12-04
1043420995 Beth Ann Gillis Counselor 585 Buena Vista Dr, Halifax, VA 24558-2155 2007-05-22
1376028266 Joan M Davis Driver 1021 Pine Trl, Halifax, VA 24558-2241 2018-09-26
1477077626 Lecels Adult Home Private Vehicle 1126 High View Rd, Halifax, VA 24558-2312 2017-07-31
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Taxonomy Information

Taxonomy Code 251K00000X
Grouping Agencies
Classification Public Health or Welfare

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740217785 County of Halifax Public Health or Welfare 19 North Dobbs Street, Halifax, NC 27839-0010 2006-06-26
1437483070 Town of Halifax Public Health or Welfare 499 Plymouth St, Halifax, MA 02338-1338 2009-09-30
1992824031 Halifax County Department of Social Services Public Health or Welfare 1030 Cowford Road, Mary Bethune Office Complex, Halifax, VA 24558 2007-03-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1326647702 Lowe Physiotherapy, LLC Public Health or Welfare 1220 N Taylor St, Arlington, VA 22201-4814 2020-10-18
1538767793 Warminster Place LLC Public Health or Welfare 7020 Old Mill Road, Norfolk, VA 23518 2020-10-11
1013538719 Qualified Concepts, LLC Public Health or Welfare 15830 Hampton Park Cir, Chesterfield, VA 23832-1900 2020-05-04
1477174472 Astyra Corporation Public Health or Welfare 411 E Franklin St Ste 105, Richmond, VA 23219-2243 2020-04-30
1538780945 The Eagleforce Foundation Inc Public Health or Welfare 13241 Woodland Park Rd Ste 600, Herndon, VA 20171-6401 2020-04-27
1124688536 Here's 2 Life Public Health or Welfare 6023 Riddle Walk, Alexandria, VA 22312-2773 2019-06-18
1750848925 Aaa Health Care Services LLC Public Health or Welfare 9525 Pine Trails Ct, Henrico, VA 23294-5344 2019-02-25
1720523996 Arthur Chiu Public Health or Welfare 7619 Huntmaster Ln, Mc Lean, VA 22102-2531 2016-12-27
1528409257 Rx4relief, LLC Public Health or Welfare 82 Watermans Ct, Gasburg, VA 23857-2204 2013-07-10
1003163338 Gma Construction LLC Public Health or Welfare 166 Holden Dr, Manassas Park, VA 20111-1832 2012-08-06
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Competitor

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City HALIFAX
Zip Code 24558

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Dataset Information

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.

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