COMMONWEALTH OF VIRGINIA/STATE BOARD OF HEALTH (NPI# 1083611107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083611107 |
| Entity Type | Organization |
| Organization Name | COMMONWEALTH OF VIRGINIA/STATE BOARD OF HEALTH |
| Other Organization Name | PENINSULA HEALTH DISTRICT |
| Practice Address |
416 J Clyde Morris Blvd Newport News VA 23601-1927 |
| Practice Telephone | 7575947305 |
| Practice Fax Number | 7575947714 |
| Mailing Telephone | 7575947305 |
| Mailing Fax Number | 7575947714 |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2009-01-29 |
| Authorized Official Name | DR. DAVID H TRUMP (HEALTH DIRECTOR) |
| Authorized Official Telephone | 7575947305 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP0905X |
Clinic/Center Specialization: Public Health, State or Local |
00240339042 | VA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | PALMETTO GBA-MEDICARE | P00245240 | 01 |
| VA | 4975103 | 05 |
| Other Name | Type Code |
|---|---|
| Peninsula Health District | Doing Business As Name - Organization |
| Street Address |
416 J CLYDE MORRIS BLVD |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23601-1927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609274836 | City of Newport News | Public Health or Welfare | 416 J Clyde Morris Blvd, Newport News, VA 23601-1927 | 2014-12-22 |
| 1073752051 | Rachel M Romaine | Preventive Medicine | 416 J Clyde Morris Blvd, Newport News, VA 23601-1927 | 2009-02-13 |
| 1538318175 | Commonwealth of Virginia/state Department of Health | Public Health or Welfare | 416 J Clyde Morris Blvd, Newport News, VA 23601-1927 | 2008-09-18 |
| 1609023308 | Natasha Dwamena | Obstetrics & Gynecology | 416 J Clyde Morris Blvd, Newport News, VA 23601-1927 | 2008-08-25 |
| 1801960588 | Karen Boullianne Bagley | Nurse Practitioner | 416 J Clyde Morris Blvd, Newport News, VA 23601-1927 | 2006-11-17 |
| 1063590073 | Peninsula Health Center Pharmacy | Pharmacy | 416 J Clyde Morris Blvd, Newport News, VA 23601 | 2006-11-01 |
| 1982792347 | David Haskell Trump | Preventive Medicine | 416 J Clyde Morris Blvd, Newport News, VA 23601-1927 | 2006-10-11 |
| 1831284157 | Maria Luz Mercado | Pediatrics | 416 J Clyde Morris Blvd, Newport News, VA 23601-1927 | 2006-10-03 |
| 1336247154 | Folake Adebola Akinbi | Dentist | 416 J Clyde Morris Blvd, Newport News, VA 23601-1927 | 2006-09-20 |
| 1386750800 | Arthur H Diamond | Dentist | 416 J Clyde Morris Blvd, Newport News, VA 23601-1927 | 2006-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740809235 | Joshua Alan Albert | Student in an Organized Health Care Education/Training Program | Riverside Family Medicine Center 10510 Jefferson Ave, Suite A, Newport News, VA 23601 | 2020-04-14 |
| 1053959957 | Sisters In Homecare LLC | Home Health | 716 J Clyde Morris Blvd, Newport News, VA 23601 | 2019-12-11 |
| 1811450638 | Kevin Lavender | Student in an Organized Health Care Education/Training Program | Riverside Brentwood Medical Center, 10510 Jefferson Avenue Suite A, Newport News, VA 23601 | 2019-04-09 |
| 1578025532 | Cortlandt Mercy Sellers | Student in an Organized Health Care Education/Training Program | Riverside Regional Medical Center, 500 J Clyde Morris Blvd, 2 Annex, Newport News, VA 23601 | 2019-04-01 |
| 1407352974 | Stephen Leinfelder | Student in an Organized Health Care Education/Training Program | 500 J. Clyde Morris Blvd., Dept. of Medical Education, Second Floor Annex, Newport News, VA 23601 | 2018-04-03 |
| 1104359132 | Nicholas Alexander Austin | Student in an Organized Health Care Education/Training Program | 500 J. Clyde Morris Blvd., Second Floor Annex, Riverside Transitional Internship Program, Newport News, VA 23601 | 2017-04-06 |
| 1609312883 | Bright Nii Lante Lamptey | Pharmacist | 600 J Clyde and Morris Blvd, Newport News, VA 23601 | 2017-01-12 |
| 1417490517 | Justin Chamblee | Pharmacist | 671 J. Clyde Morris Blvd, Newport News, VA 23601 | 2016-11-22 |
| 1447706080 | Megan Elizabeth Cobb | Physician Assistant | 500 J Clyde Morrisl Blvd, Suite 603, Newport News, VA 23601 | 2016-09-01 |
| 1669815957 | Christina Michelle Wray Mcmillan | Nurse Practitioner | 416 J. Clyde Morris Blvd., Newport News, VA 23601 | 2013-04-17 |
| Find all providers in zip 23601 | ||||
| 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 |
| 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 |
| City | NEWPORT NEWS |
| Zip Code | 23601 |
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.