Organization
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Active
Other names
KING WILLIAM 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
172 COURTHOUSE LANE, KING WILLIAM, VA 23086-0155
(804) 758-2381
(804) 758-4828
Mailing address
PO BOX 155, KING WILLIAM, VA 23086-0155
(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
05
—
004975651
—
VA
01
—
1528029675
HUMANA GOLD CHOICE
VA
01
—
266548
ANTHEM
VA
01
—
41163
OPTIMA
VA
01
—
41163
SENTARA
VI
01
—
99999999999
DORAL
VA
Enumeration date
03/29/2006
Last updated
03/19/2012
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