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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