Organization · Type 2 NPI

Commonwealth of Virginia State Board of Health

State or Local Public Health Clinic/Center · Courtland, VA

NPI number 1053386979 Active

Practice location

26022 Administrative Center Drive
Courtland, VA 23837-0009

Fax (757) 653-0834

Specialties and licenses

TaxonomyCodeLicense
State or Local Public Health Clinic/Center Primary 261QP0905XNone listed

State or Local Public Health Clinic/Center: Definition to come...

About NPI 1053386979

Commonwealth of Virginia State Board of Health's National Provider Identifier is 1053386979, issued on Feb 22, 2006. The primary taxonomy on file is State or Local Public Health Clinic/Center (261QP0905X), and the practice location is in Courtland, VA. The record was last updated on Jun 9, 2011.