Organization
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Active
Organization
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Active
Other names
Powhatan County Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAULETTE A MOORE (BUSINESS MANAGER)
(804) 748-1630
Entity
Organization
Contact information
Practice address
3908 OLD BUCKINGHAM RD, SUITE 1, POWHATAN, VA 23139-5753
(804) 598-5680
(804) 598-5688
Mailing address
3908 OLD BUCKINGHAM RD, SUITE 1, POWHATAN, VA 23139-5753
(804) 598-5680
(804) 598-5688
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004975847
—
VA
01
—
12499
CARENET/SOUTHERN HEALTH
—
01
—
266459
ANTHEM BLUE CROSS BSHIELD
VA
01
—
41199
OPTIMA FAMILY CARE
—
01
—
4975847
VIRGINIA PREMIER HEALTH
—
Enumeration date
07/21/2006
Last updated
05/29/2012
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