# COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COMMONEALTH OF VIRGINIA STATE BOARD OF HEALTH
- **Other names:** Southwest Virginia Child Development Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1851430821
- **Legal business name:** COMMONEALTH OF VIRGINIA STATE BOARD OF HEALTH
- **Authorized official:** ELEANOR S. CANTRELL MD (HEALTH DIRECTOR)
- **Authorized official phone:** (276) 328-8000

## Contact information

- **Practice address:** 190 BEECH STREET, STE 102, GATE CITY, VA 25251-3623
- **Practice address phone:** (276) 386-1312
- **Practice address fax:** (276) 386-2116
- **Mailing address:** 190 BEECH ST, STE 102, GATE CITY, VA 24251-3623
- **Mailing address phone:** (276) 386-1312
- **Mailing address fax:** (276) 386-2116

## Taxonomy

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

## Other

- **Enumeration date:** 02/06/2007
- **Last updated:** 09/12/2013