Organization
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Active
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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