Organization
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Active
Other names
Appomattox County Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY GATELEY MD (DIRECTOR CENTRAL VA. HEALTH DISTRIC)
(434) 947-6777
Entity
Organization
Contact information
Practice address
475 COURT STREET, APPOMATTOX, VA 24522
(434) 352-2313
Mailing address
PO BOX 355, 475 COURT STREET, APPOMATTOX, VA 24522-0355
(434) 352-2313
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004975260
—
VA
01
—
00994
SOUTHERN HEALTH CARENET
VA
01
—
21236
OPTIMA
VA
01
—
266451
ANTHEM
VA
01
—
61553
CARENET
VA
Enumeration date
05/08/2006
Last updated
07/21/2022
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