Organization
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Active
Organization
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Active
Other names
Chesterfield Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULETTE A MOORE (BUSINESS MANAGER)
(804) 748-1630
Entity
Organization
Contact information
Practice address
9501 LUCY CORR CIR, CHESTERFIELD, VA 23832-6697
(804) 748-1743
(804) 751-4497
Mailing address
PO BOX 100, CHESTERFIELD, VA 23832-0002
(804) 748-1743
(804) 751-4497
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004975189
—
VA
01
—
12470
CARENET/SOUTHERN HEALTH
VA
01
—
266457
ANTHEM BLUE CROSS/BSHIELD
VA
01
—
41174
OPTIMA FAMILY CARE
—
01
—
4975189
VIRGINIA PREMIER HEALTH
—
Enumeration date
07/19/2006
Last updated
08/04/2011
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