Organization
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Active
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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