COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH (NPI# 1053386979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053386979 |
| Entity Type | Organization |
| Organization Name | COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH |
| Other Organization Name | SOUTHAMPTON COUNTY HEALTH DEPARTMENT |
| Practice Address |
26022 Administrative Center Drive Courtland VA 23837-0009 |
| Mailing Address |
26022 Administrative Center Drive Po Box 09 Courtland VA 23837-0009 |
| Practice Telephone | 7576533040 |
| Practice Fax Number | 7576530834 |
| Mailing Telephone | 7576533040 |
| Mailing Fax Number | 7576530834 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2011-06-09 |
| Authorized Official Name | ANGELA YVETTE TILLERY (BUSINESS MANAGER) |
| Authorized Official Telephone | 7575144765 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP0905X |
Clinic/Center Specialization: Public Health, State or Local |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 4975952 | 05 | |
| VA | 497229 | 05 | |
| VA | 8450714 | 05 | |
| VA | 008770280 | 05 | |
| VA | 008700681 | 05 |
| Other Name | Type Code |
|---|---|
| Southampton County 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 |
26022 ADMINISTRATIVE CENTER DRIVE |
| City | COURTLAND |
| State | VA |
| Zip Code | 23837-0009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548777238 | Andrea Hall-leonard | Speech-Language Pathologist | Southampton County Public Schools 21290 Plank Road, Courtland, VA 23837 | 2018-01-04 |
| 1679564421 | Southampton County Board of Supervisors | Ambulance | 25436 Bridge St, Courtland, VA 23837-0000 | 2005-11-01 |
| 1679049944 | Takeda Hinton | Contractor | 22086 Bateman St, Courtland, VA 23837-1005 | 2018-10-15 |
| 1467915991 | Believe In Me Mobile Phlebotomy Services, LLC | Clinic/Center | 22086 Bateman St, Courtland, VA 23837-1005 | 2019-04-11 |
| 1174938393 | Courtland Hearing Aids and Balance, LLC | Clinic/Center | 22730 Main St, Courtland, VA 23837-1127 | 2014-06-26 |
| 1235449497 | Stacy Ann Brinkley | Nurse Practitioner | 22708 Main St, Courtland, VA 23837-1127 | 2010-10-20 |
| 1194117747 | Mary Babb | Nurse Practitioner | 22708 Main St, Courtland, VA 23837-1127 | 2015-02-19 |
| 1821362856 | Tenecia Renee Brown-shearin | Case Manager/Care Coordinator | 22038 High St, Courtland, VA 23837-1131 | 2012-03-08 |
| 1003829359 | Medical Facilities of America Xliii | Skilled Nursing Facility | 23020 Main St, Courtland, VA 23837-1133 | 2006-08-15 |
| 1871129858 | Savannah Francis | Occupational Therapist | 23020 Main St, Courtland, VA 23837-1133 | 2020-03-21 |
| Find all providers in zip 23837 | ||||
| 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 |
| 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 |
| 1114015716 | Commonwealth of Virginia State Board of Health | Clinic/Center | 15068 Lee Hwy, Suite 900, Bristol, VA 24202-4263 | 2006-10-10 |
| 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.