Organization
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Active
Parent organization
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Other names
Brunswick County Health Department
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Authorized official
DR. SCOTT J SPILLMANN MD, MPH (SOUTHSIDE HEALTH DISTRICT)
(434) 738-6545
Entity
Organization
Contact information
Practice address
1632 LAWRENCEVILLE PLANK RD, LAWRENCEVILLE, VA 23868
(434) 848-2525
(434) 848-2235
Mailing address
1632 LAWRENCEVILLE PLANK RD, LAWRENCEVILLE, VA 23868-3304
(434) 848-2525
(434) 848-2235
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
1010243863
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004975332
—
VA
05
—
005840686
—
VA
01
—
266536
ANTHEM BCBS
VA
01
—
41172
OPTIMA
VA
05
—
4975332
—
VA
Enumeration date
04/26/2006
Last updated
06/25/2018
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