Organization
COMMONWEATLH OF VIRGINIA STATE BOARD OF HEALTH
Active
Other names
Essex County Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHERRY HOUSE (ADMINISTRATOR)
(804) 758-2381
Entity
Organization
Contact information
Practice address
423 N. CHURCH ROAD, TAPPAHANNOCK, VA 22560-0206
(804) 758-2381
(804) 758-4828
Mailing address
PO BOX 206, TAPPAHANNOCK, VA 22560-0206
(804) 758-2381
(804) 758-4828
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004975456
FIRST HEALTH
VA
05
—
004975456
—
VA
01
—
1407818701
HUMANA GOLD CHOICE
VA
01
—
266545
ANTHEM
VA
01
—
41160
SENTARA
VA
Enumeration date
04/04/2006
Last updated
03/19/2012
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