OrganizationActive
Commonwealth of Virginia State Board of Health
NPI 1053386979 · State or Local Public Health Clinic/Center · Courtland, VA
Provider details
- NPI number
- 1053386979
- Entity type
- Organization
- Primary specialty
- State or Local Public Health Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Angela Tillery, Business Manager
Practice location
26022 Administrative Center Drive
Courtland, VA 23837-0009
Phone: (757) 653-3040
Fax: (757) 653-0834
Mailing address
26022 Administrative Center Drive
Courtland, VA 23837-0009
Registry dates
- Enumerated
- 2006-02-22
- Last updated
- 2011-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.