COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH NPI 1528155157

NPI Information

NPI: 1528155157
Provider Name: COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH

Doing Business As: PRINCE WILLIAM HEALTH DISTRICT

Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization

Address:
9301 LEE AVE
MANASSAS, VA
ZIP 20110
Phone: (703) 792-6300
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COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH is a public health or welfare in Manassas, VA. COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH NPI is 1528155157. The provider is registered as an organization entity type.
The provider Is Doing Business As Prince William Health District.

The provider's business location address is:

9301 LEE AVE
MANASSAS, VA
ZIP 20110-517
Phone: (703) 792-6300
Fax: (703) 792-6338

The provider's authorized official is Alison Ansher .
The authorized official title is Health Director and has the following contact phone number (703) 792-6300.

The CLIA number assigned to this NPI record is 49D1041465 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/6/2006 and was last updated on 8/23/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251K00000X	Public Health or Welfare				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4975871	MEDICAID	VIRGINIA
2	990000020	MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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