COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH (NPI# 1558451575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558451575 |
| Entity Type | Organization |
| Organization Name | COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH |
| Other Organization Name | MADISON COUNTY HEALTH DEPARTMENT |
| Practice Address |
1480 N Main St Madison VA 22727-3093 |
| Mailing Address |
98 Alexandria Pike Ste 42 Warrenton VA 20186-2849 |
| Practice Telephone | 5409485481 |
| Practice Fax Number | 5409483841 |
| Mailing Telephone | 5403166303 |
| Mailing Fax Number | 5403476373 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2019-11-13 |
| Authorized Official Name | MRS. DANA MCCLELLAND (ADMINISTRATOR) |
| Authorized Official Telephone | 5403166303 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 4975707 | 05 | |
| VA | CLIA | 49D0714359 | 01 |
| Other Name | Type Code |
|---|---|
| Madison 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 |
1480 N MAIN ST |
| City | MADISON |
| State | VA |
| Zip Code | 22727-3093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891701942 | Jill Witherow York | Nurse Practitioner | 1480 N Main St, Madison, VA 22727-3093 | 2006-07-31 |
| 1326487224 | Fannie F. Utz | Nurse Practitioner | 1480 N Main St, Suite A, Madison, VA 22727-3093 | 2013-06-24 |
| 1851608020 | Michelle T. Tran | Family Medicine | 1480 N Main St, Madison, VA 22727-3093 | 2010-09-08 |
| 1417278466 | Aliya L Wilson | Family Medicine | 1480 N Main St, Madison, VA 22727-3093 | 2010-06-14 |
| 1053569582 | Sun A. Park | Internal Medicine | 1480 N Main St, Ste A, Madison, VA 22727-3093 | 2008-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619243136 | Madison County Rescue Squad Inc | Ambulance | 1473 N Main Street, Madison, VA 22727 | 2012-03-29 |
| 1588995062 | Madison County Board of Supervisors | Ambulance | 1449 North Main Street, Madison, VA 22727 | 2010-01-22 |
| 1255668711 | Lorie N Davis | Counselor | 74 Legion Post Lane, Madison, VA 22727 | 2009-11-04 |
| 1720151582 | Madison County Dental Clinic | Public Health or Welfare | 410 North Main Street, Madison, VA 22727 | 2006-11-17 |
| 1255357455 | Madison County Public Schools | Local Education Agency (LEA) | 60 School Board Court, Madison, VA 22727 | 2006-07-14 |
| 1902423825 | Madison Free Clinic, Inc | Clinic/Center | 410 North Main Street, Madison, VA 22727 | 2020-06-26 |
| 1710334743 | Whitney Richards | Occupational Therapist | 1 Autumn Ct, Madison, VA 22727 | 2016-05-19 |
| 1215143813 | Jared Carter Kleine | Dentist | 1333 North Seminole Trail, Madison, VA 22727-0330 | 2007-05-14 |
| 1164464178 | John Yates Sealander | Family Medicine | 2503 S Seminole Trl, Madison, VA 22727-2690 | 2006-06-12 |
| 1982928735 | Susan Benton Suleske | Physician Assistant | 2503 S Seminole Trl, Madison, VA 22727-2690 | 2010-03-23 |
| Find all providers in zip 22727 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
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| 1457580433 | Lac Qui Parle County Family Service Center | Public Health or Welfare | 930 1st Ave, Madison, MN 56256-1053 | 2009-07-10 |
| 1720151582 | Madison County Dental Clinic | Public Health or Welfare | 410 North Main Street, Madison, VA 22727 | 2006-11-17 |
| 1487763124 | City of Madison | Public Health or Welfare | 210 Martin Luther King Jr. Blvd., Room 507, Madison, WI 53703-3346 | 2006-08-29 |
| 1245200641 | Florida Department of Health | Public Health or Welfare | 218 Sw Third Ave, Madison, FL 32340-1266 | 2006-01-26 |
| 1861730236 | The Bedford Medical Corporation | Public Health or Welfare | 1281 Highway 51, Madison, MS 39110-9092 | 2013-01-19 |
| 1780998401 | Dane County Human Services | Public Health or Welfare | 1202 Northport Dr, Madison, WI 53704-2020 | 2010-08-05 |
| 1780731059 | Jefferson County Auditor | Public Health or Welfare | 715 Green Rd, Madison, IN 47250-2143 | 2007-01-05 |
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| 1477174472 | Astyra Corporation | Public Health or Welfare | 411 E Franklin St Ste 105, Richmond, VA 23219-2243 | 2020-04-30 |
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| 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 | ||||
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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.