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Organization

COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH

Active
Other names
Roanoke County/Vinton Health Department
Organization subpart
No

Provider details

NPI number
Authorized official
MS. VIVIAN PENN-TIMITY (BUSINESS MANAGER)
(540) 204-9718
Entity
Organization

Contact information

Practice address
227 S POLLARD ST, VINTON, VA 24179-2529
(540) 857-7800
(540) 857-7529
Mailing address
PO BOX 307, VINTON, VA 24179-0307
(540) 857-7800
(540) 857-7529

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4976762
VA
Enumeration date
05/12/2006
Last updated
07/20/2012
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