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COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH NPI 1720053648


NPI Information

NPI: 1720053648
Provider Name: COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH

Doing Business As: FRANKLIN CITY HEALTH DEPARTMENT

Classification: Clinic/Center - 261QP0905X
Entity Type: Organization

Specialization: Public Health, State or Local

Address:
200 FAIRVIEW AVE
FRANKLIN, VA
ZIP 23851
Phone: (757) 562-6109
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COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH is a public health and state or local clinic center in Franklin, VA. COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH NPI is 1720053648. The provider is registered as an organization entity type.
The provider Is Doing Business As Franklin City Health Department.

The provider's business location address is:

200 FAIRVIEW AVE
FRANKLIN, VA
ZIP 23851-216
Phone: (757) 562-6109
Fax: (757) 562-2630

The provider's authorized official is Angela Yvette Tillery .
The authorized official title is Business Manager and has the following contact phone number (757) 514-4765.

The enumeration date for this NPI number is 2/22/2006 and was last updated on 6/9/2011.


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
1261QP0905XClinic/CenterPublic Health, State or LocalYes

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
1008770336MEDICAIDVIRGINIA
2600000006MEDICARE ID-TYPE UNSPECIFIEDCLINIC
34976134MEDICAIDVIRGINIA
4008700672MEDICAIDVIRGINIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.