Organization
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Active
Other names
MATHEWS 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
536 CHURCH ST, MATHEWS, VA 23109-0026
(804) 758-2381
(804) 758-4828
Mailing address
PO BOX 26, MATHEWS, VA 23109-0026
(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
—
004975715
—
VA
01
—
1760444871
HUMANA GOLD CHOICE
VA
01
—
266550
ANTHEM
VA
01
—
41165
OPTIMA
VA
01
—
99999999999
DORAL
VA
Enumeration date
04/04/2006
Last updated
03/19/2012
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