Organization
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Active
Organization
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Active
Other names
MIDDLESEX COUNTY HEALTH DEPARTMENT
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHERRY HOUSE (ADMINISTRATOR)
(804) 758-2381
Entity
Organization
Contact information
Practice address
2780 GENERAL PULLER HWY, SALUDA, VA 23149-3112
(804) 758-2381
(804) 758-4828
Mailing address
PO BOX 415, SALUDA, VA 23149-0415
(804) 758-2381
(804) 758-4828
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004975731
—
VA
01
—
266544
ANTHEM
VA
01
—
41158
OPTIMA
VA
01
—
999999999999
DORAL
VA
Enumeration date
04/07/2006
Last updated
03/19/2012
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