COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH (NPI# 1184668477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184668477 |
| Entity Type | Organization |
| Organization Name | COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH |
| Other Organization Name | KING GEORGE HEALTH DEPARTMENT |
| Practice Address |
10079 Kings Highway King George VA 22485-3445 |
| Mailing Address |
608 Jackson Street Fredericksburg VA 22401-5719 |
| Practice Telephone | 5407753111 |
| Practice Fax Number | 5407753109 |
| Mailing Telephone | 5408994797 |
| Mailing Fax Number | 5408994599 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2011-06-13 |
| Authorized Official Name | DR. BROOKE W ROSSHEIM (DIRECTOR) |
| Authorized Official Telephone | 5408994797 |
| Authorized Official Credential | M.D., M.P.H |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251K00000X | Public Health or Welfare | Agencies | ||
| Y | 251K00000X | Public Health or Welfare | VA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICARE-R/R | P00193783 | 01 |
| VA | VIRGINIA PREMIER | 004975634 | 01 |
| VA | ANTHEM HK | 266520 | 01 |
| VA | MEDICAID-SLH | 000030996 | 01 |
| VA | 004975634 | 05 | |
| VA | SOUTHERN HEALTH | 418740 | 01 |
| Other Name | Type Code |
|---|---|
| King George 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 |
10079 KINGS HIGHWAY |
| City | KING GEORGE |
| State | VA |
| Zip Code | 22485-3445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528699675 | Philicia J King | Nurse Practitioner | 16463 Va-206, King George, VA 22485 | 2020-01-28 |
| 1811492994 | Jason J Wheeler | Psychologist | King George High School, 10100 Foxes Way, King George, VA 22485 | 2018-03-29 |
| 1649668690 | Access Eye Centers, PC | Optometrist | 7961 Kings Hwy., King George, VA 22485 | 2014-12-29 |
| 1568808277 | Alice Ann Pallotti | Massage Therapist | 9305 King's Hwy, Suite A, King George, VA 22485 | 2013-05-21 |
| 1679876296 | Virginia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 11458 Kings Highway, King George, VA 22485 | 2010-12-21 |
| 1962679506 | Kathleen Ann Fitzsimmons | Counselor | 5506 Payne Dr, King George, VA 22485 | 2008-05-13 |
| 1275574279 | Kristie F Mcdowell | Physician Assistant | 11131 Journal Parkway, King George, VA 22485 | 2006-06-09 |
| 1780675702 | King George Life Care, LLC | Skilled Nursing Facility | 10051 Foxes Way, Box 495, King George, VA 22485 | 2005-10-31 |
| 1881059624 | Jill Bain Wine | Speech-Language Pathologist | 5254 Potomac Dr Ste A, King George, VA 22485 | 2015-12-21 |
| 1245486802 | Roosevelt Dean Jr. | Family Medicine | 11131 Journal Parkway, King George, VA 22485 | 2008-08-14 |
| Find all providers in zip 22485 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
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| 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 |
| Find all providers with the same taxonomy | ||||
| City | KING GEORGE |
| Zip Code | 22485 |
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.