Organization
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Active
Organization
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Active
Other names
Caroline County Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BROOKE W ROSSHEIM M.D., M.H.P. (DIRECTOR)
(540) 899-4797
Entity
Organization
Contact information
Practice address
17202 RICHMOND TURNPIKE, MILFORD, VA 22514-2211
(804) 633-5465
(804) 633-6349
Mailing address
608 JACKSON STREET, FREDERICKSBURG, VA 22401-5719
(540) 899-4797
(540) 899-4599
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
VA
251K00000X
Public Health or Welfare Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000030333
MEDICAID-SLH
VA
01
—
004975367
VIRGINIA PREMIER
VA
05
—
004975367
—
VA
01
—
266519
ANTHEM-HK
VA
01
—
26965
OPTIMA
VA
01
—
418738
SOUTHERN HEALTH
VA
01
—
45731
CARENET
VA
Enumeration date
06/09/2006
Last updated
06/13/2011
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