COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH (NPI# 1821194549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821194549 |
| Entity Type | Organization |
| Organization Name | COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH |
| Other Organization Name | AMELIA COUNTY HEALTH DEPARTMENT |
| Practice Address |
16320 Church Street Amelia VA 23002-4817 |
| Mailing Address |
Po Box 392 Amelia Court House VA 23002-0392 |
| Practice Telephone | 8045612711 |
| Practice Fax Number | 8045612712 |
| Mailing Telephone | 8045612711 |
| Mailing Fax Number | 8045612712 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2010-09-20 |
| Authorized Official Name | DR. ALEXANDER P SAMUEL (DISTRICT HEALTH DIRECTOR) |
| Authorized Official Telephone | 4343923984 |
| Authorized Official Credential | M.D. |
| 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 | 004975243 | 05 |
| Other Name | Type Code |
|---|---|
| Amelia 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 |
16320 CHURCH STREET |
| City | AMELIA |
| State | VA |
| Zip Code | 23002-4817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013451269 | Travis Mueller, Dds | Dentist | 16320 Goodes Bridge Rd, Amelia Court House, VA 23002 | 2016-12-07 |
| 1811256787 | Southern Dominion Health System, Inc. | Clinic/Center | 8830 Virginia Street, Amelia, VA 23002 | 2012-05-11 |
| 1619118403 | Michele Monday Donoghue | Nurse Practitioner | 8631 Namozine Road, Amelia, VA 23002 | 2009-03-09 |
| 1811058449 | Jennifer Reed Mueller | Dentist | 16320 Goodes Bridge Rd., Amelia, VA 23002 | 2006-12-13 |
| 1881615458 | Carmen E Greiner | Counselor | Church Street & Washington Street, Amelia, VA 23002 | 2006-07-21 |
| 1194701177 | Leatha F Boyles | Nurse Practitioner | 8920 Otterbrun Road, Amelia, VA 23002 | 2005-12-21 |
| 1851373559 | Debra Marie Sequeira | Family Medicine | 8920 Otterburn Road, Amelia, VA 23002 | 2005-11-17 |
| 1447540497 | Ryan Keith Ickes | Social Worker | 9101 Washington Street, Amelia, VA 23002 | 2011-04-12 |
| 1497983175 | Rita M Barrett | Nurse Practitioner | 8920 Otterburn Road, Amelia, VA 23002 | 2009-07-01 |
| 1508003484 | Nadeem Ahmed | Psychologist | 9101 Washington Street, Amelia Ch, VA 23002 | 2009-01-14 |
| Find all providers in zip 23002 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
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|---|---|---|---|---|
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| 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 | ||||
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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.