| Commonwealth Of Virginia State Board Of Health | |
|
170 4th St Nw Pulaski VA 24301-4524 | |
| (540) 994-5030 | |
| (540) 994-5036 |
| Full Name | Commonwealth Of Virginia State Board Of Health |
|---|---|
| Speciality | Public Health or Welfare |
| Location | 170 4th St Nw, Pulaski, 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 170 4th St Nw Pulaski VA 24301-4524 Ph: (540) 994-5030 | Commonwealth Of Virginia State Board Of Health 170 4th St Nw Pulaski VA 24301-4524 Ph: (540) 994-5030 |
| NPI Number | 1639284979 |
|---|---|
| Provider Enumeration Date | 08/19/2006 |
| Last Update Date | 11/29/2023 |
| Medicare PECOS PAC ID | 0547174369 |
|---|---|
| Medicare Enrollment ID | O20111118000313 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639284979 | NPI | - | NPPES |
| 004975880 | 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 |
Free Clinic Of Pulaski County Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 4th St Nw, Pulaski, VA 24301 Phone: 540-980-0922 | |
New River Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 1st St Nw, Pulaski, VA 24301 Phone: 540-980-0550 Fax: 540-980-5010 | |
Ralph J. Hasspieler, M.d. P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 1st St Nw, Pulaski, VA 24301 Phone: 540-980-0550 Fax: 540-980-5010 | |
Hubbard Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 76 E Main St, Pulaski, VA 24301 Phone: 540-509-5018 | |
Matthew S. Kaatz, M.d. P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 1st St Nw, Pulaski, VA 24301 Phone: 540-980-0552 Fax: 540-980-5010 |