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Organization

COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH

Active
Other names
Spotsylvania Health Department
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BROOKE W ROSSHEIM M.D., M.P.H. (DIRECTOR)
(540) 899-4797
Entity
Organization

Contact information

Practice address
9104 COURTHOUSE RPAD, SPOTSYLVANIA, VA 22553-1902
(540) 507-7400
(540) 582-2572
Mailing address
608 JACKSON STREET, FREDERICKSBURG, VA 22401-5719
(540) 899-4797
(540) 899-4599

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
VA
251K00000X
Public Health or Welfare Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
004975961
VIRGINIA PREMIER
VA
05
004975961
VA
01
266521
ANTHEM-HK
VA
01
418744
SOUTHERN HEALTH
VA
01
600001690
MEDICARE R/R
VA
Enumeration date
06/16/2006
Last updated
06/13/2011
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