| Commonwealth Of Virginia State Board Of Health | |
|
1 Taylor Ave Ste 4 Pearisburg VA 24134-2079 | |
| (540) 921-2891 | |
| (540) 921-1335 |
| Full Name | Commonwealth Of Virginia State Board Of Health |
|---|---|
| Speciality | Public Health or Welfare |
| Location | 1 Taylor Ave Ste 4, Pearisburg, 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 1 Taylor Ave Ste 4 Pearisburg VA 24134-2079 Ph: (540) 921-2891 | Commonwealth Of Virginia State Board Of Health 1 Taylor Ave Ste 4 Pearisburg VA 24134-2079 Ph: (540) 921-2891 |
| NPI Number | 1184738692 |
|---|---|
| Provider Enumeration Date | 08/19/2006 |
| Last Update Date | 09/14/2022 |
| Medicare PECOS PAC ID | 0547174369 |
|---|---|
| Medicare Enrollment ID | O20130530000084 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184738692 | NPI | - | NPPES |
| 004976215 | 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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