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COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH

Agencies Public Health or Welfare

Provider NPI: 1104879568

Organization Information:
Organization Name:  COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Organization is not Subpart
Authorized Official:  VIVIAN  PENN-TIMITY  BUSINESS MANAGER  540-204-9718

Practice Location:
21 ACADEMY STREET  FINCASTLE, VA 24090-0220 US
Tel: 540-473-8240  Fax: 540-473-8242

Business Mailing Address:
PO BOX 220  FINCASTLE, VA 24090-0220 US
Tel: 540-473-8240  Fax: 540-473-8242

NPI Information:
NPI: 1104879568
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y251K00000XAgencies
Public Health or Welfare

Other Provider Identifiers:

IssuerNumberStateType
4975324VA05



American Medical Association 2012 taxonomy code information

Code: 251K00000X

Type:

Classification:



Definition:



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