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Organization

COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH

Active
Other names
Clarke County Health Dept.
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID D CRABTREE M.S (DISTRICT ADMINISTRATOR)
(540) 722-3470
Entity
Organization

Contact information

Practice address
100 N BUCKMARSH ST, BERRYVILLE, VA 22611-1010
(540) 955-1033
Mailing address
10 BAKER STREET, WINCHESTER, VA 22601-4828
(540) 722-3470
(540) 722-3476

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004975405
VA
01
324085
ANTHEM/ HEALTHKEEPERS
VA
Enumeration date
05/15/2006
Last updated
11/25/2015
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