Organization
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Active
Organization
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Active
Other names
Stafford Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BROOKE W ROSSHEIM M.D., M.P.H. (DIRECTOR)
(540) 899-4797
Entity
Organization
Contact information
Practice address
1300 COURTHOUSE ROAD, STAFFORD, VA 22554-7232
(540) 659-3101
(540) 659-7176
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
—
000031798
MEDICAID SLH
VA
01
—
004975979
VIRGINIA PREMIER
VA
05
—
004975979
—
VA
01
—
266522
ANTHEM-HK
VA
01
—
418747
SOUTHERN HEALTH
VA
Enumeration date
07/05/2006
Last updated
06/13/2011
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