| Commonwealth Of Virginia State Board Of Health | |
|
123 Parkview Rd Ne Floyd VA 24091-3809 | |
| (540) 381-7100 | |
| Not Available |
| Full Name | Commonwealth Of Virginia State Board Of Health |
|---|---|
| Speciality | Public Health or Welfare |
| Location | 123 Parkview Rd Ne, Floyd, Virginia |
| Authorized Official Name and Position | Noelle Bissell (HEALTH DIRECTOR) |
| Authorized Official Contact | 5403817100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Commonwealth Of Virginia State Board Of Health 123 Parkview Rd Ne Floyd VA 24091-3809 Ph: (540) 381-7100 | Commonwealth Of Virginia State Board Of Health 123 Parkview Rd Ne Floyd VA 24091-3809 Ph: (540) 381-7100 |
| NPI Number | 1164536652 |
|---|---|
| Provider Enumeration Date | 08/19/2006 |
| Last Update Date | 09/14/2022 |
| Medicare PECOS PAC ID | 0547174369 |
|---|---|
| Medicare Enrollment ID | O20110614000402 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164536652 | NPI | - | NPPES |
| 004975481 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Secondary |
| 251K00000X | Public Health Or Welfare | (* (Not Available)) | Primary |
| Provider Name | Noelle S Bissell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861475311 PECOS PAC ID: 9739255670 Enrollment ID: I20080829000249 |
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