Organization
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Active
Organization
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Active
Other names
Fredericksburg Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BROOKE W ROSSHEIM M.D., M.H.P. (DIRECTOR)
(540) 899-4797
Entity
Organization
Contact information
Practice address
608 JACKSON STREET, FREDERICKSBURG, VA 22401-5719
(540) 899-4142
(540) 899-4480
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
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000036307
MEDICAID-SLH
VA
05
—
000036307
—
VA
01
—
004976142
VA PREMIER
VA
05
—
004976142
—
VA
01
—
266518
ANTHEM-HK
VA
01
—
418625
SOUTHERN HEALTH
VA
01
—
6000000943
MEDICARE R/R
VA
Enumeration date
07/05/2006
Last updated
06/13/2011
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