# COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Roanoke City Health Department
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376595785
- **Authorized official:** MS. VIVIAN PENN-TIMITY (BUSINESS MANAGER)
- **Authorized official phone:** (540) 204-9718

## Contact information

- **Practice address:** 1502 WILLIAMSON RD NE, SECOND FLOOR, ROANOKE, VA 24012-5130
- **Practice address phone:** (540) 283-5050
- **Practice address fax:** (540) 857-7316
- **Mailing address:** 1502 WILLIAMSON RD NE, SECOND FLOOR, ROANOKE, VA 24012-5130
- **Mailing address phone:** (540) 283-5050
- **Mailing address fax:** (540) 857-7316

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | VA | Yes |

## Other

- **Enumeration date:** 05/16/2006
- **Last updated:** 07/20/2012