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Organization

COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH

Active
Parent organization
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Other names
Bedford County Health Department
Organization subpart
Yes

Provider details

NPI number
Legal business name
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Authorized official
DR. KERRY W GATELEY MD, MPH, CPE (DIRECTOR)
(540) 586-7952
Entity
Organization

Contact information

Practice address
600 BEDFORD AVE, BEDFORD, VA 24523-1966
(540) 586-7952
(540) 586-7950
Mailing address
600 BEDFORD AVE, BEDFORD, VA 24523-1966
(540) 586-7952
(540) 586-7950

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
004975308
VIRGINIA PREMIER
VA
05
004975308
VA
01
052026
ANTHEM
VA
01
61555
CARENET
VA
01
96856
OPTIMA
VA
Enumeration date
03/27/2006
Last updated
12/14/2009
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