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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