Organization
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Active
Other names
Petersburg Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHRYN A RANKIN MD (DISTRICT HEALTH DIRECTOR)
(804) 863-1652
Entity
Organization
Contact information
Practice address
301 HALIFAX ST, PETERSBURG, VA 23803-6335
(804) 863-1652
(804) 862-6126
Mailing address
301 HALIFAX ST, PETERSBURG, VA 23803-6335
(804) 863-1652
(804) 862-6126
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004975073
—
VA
01
—
063849
ANTHEM
VA
01
—
41995
OPTIMA/SENTARA
VA
01
—
42517
SOUTHERN HEALTH
VA
01
—
45763
CARENET
VA
01
—
85737
VIRGINIA PREMIER
VA
Enumeration date
08/30/2006
Last updated
09/12/2008
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