Organization
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Active
Other names
Colonial Heights City Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAULETTE A MOORE (BUSINESS MANAGER)
(804) 748-1630
Entity
Organization
Contact information
Practice address
200 HIGHLAND AVE, COLONIAL HEIGHTS, VA 23834-3142
(804) 520-9380
(804) 520-9222
Mailing address
PO BOX 3401, COLONIAL HEIGHTS, VA 23834-9001
(804) 520-9380
(804) 520-9222
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004976479
—
VA
01
—
12502
CARENET/SOUTHERN HEALTH
—
01
—
266458
ANTHEM BLUE CROSS BSHIELD
VA
01
—
41175
OPTIMA FAMILY CARE
—
01
—
4976479
VIRGINIA PREMIER HEALTH
—
Enumeration date
07/21/2006
Last updated
02/04/2011
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