Organization
COMMONWEATLH OF VIRGINIA STATE BOARD OF HEALTH
Active
Organization
COMMONWEATLH OF VIRGINIA STATE BOARD OF HEALTH
Active
Other names
NORTHUMBERLAND 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
6373 NORTHUMBERLAND HWY., SUITE B, HEATHSVILLE, VA 22473-0069
(804) 758-2381
(804) 758-4828
Mailing address
PO BOX 69, HEATHSVILLE, VA 22473-0069
(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
—
004975782
—
VA
01
—
1639132137
HUMANA GOLD CHOICE
VA
01
—
266552
ANTHEM
VA
01
—
41166
OPTIMAHEALTH
VA
Enumeration date
04/07/2006
Last updated
03/19/2012
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