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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