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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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