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Organization

COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH

Active
Parent organization
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Other names
Campbell CountyHealth Dept
Organization subpart
Yes

Provider details

NPI number
Legal business name
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Authorized official
DR. KERRY W GATELEY MD, MPH, CPE (DIRECTOR CENTRAL VA HEALTH DISTRIC)
(434) 947-6777
Entity
Organization

Contact information

Practice address
116 KABLER LANE, RUSTBURG, VA 24588
(434) 332-9550
(434) 332-5512
Mailing address
PO BOX 160, RUSTBURG, VA 24588-0160
(434) 332-9550
(434) 332-5512

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
004975359
VIRGINIA PREMIER
VA
05
004975359
VA
01
087342
ANTHEM
VA
01
61557
CARENET
VA
01
96857
OPTIMA
VA
Enumeration date
04/05/2006
Last updated
08/29/2008
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