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Organization

COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH

Active
Other names
Prince George County Health Department
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KATHRYN A. RANKIN (DISTRICT HEALTH DIRECTOR)
(804) 863-1652
Entity
Organization

Contact information

Practice address
6459 ADMINISTRATION DR., PRINCE GEORGE, VA 23875
(804) 733-2630
(804) 862-6127
Mailing address
6459 ADMINISTRATION DR., PRINCE GEORGE, VA 23875
(804) 733-2630
(804) 862-6127

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004975863
VA
01
266463
ANTHEM
VA
01
41196
OPTIMA/SENTARA
VA
01
42517
SOUTHERN HEALTH
VA
01
45763
CARENET
VA
01
85733
VIRGINIA PREMIER
VA
Enumeration date
07/01/2006
Last updated
09/12/2008
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