Commonwealth of Virginia State Board of Health
NPI 1487629374 · State or Local Public Health Clinic/Center · Suffolk, VA
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Commonwealth of Virginia State Board of Health is a State or Local Public Health Clinic/Center organization in Suffolk, VA (NPI 1487629374).
Provider details
- NPI number
- 1487629374
- Entity type
- Organization
- Primary specialty
- State or Local Public Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Commonwealth of Virginia State Board of Health
- Organization subpart
- Yes
- Authorized official
- Angela Tillery, Business Manager(757) 514-4765
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Suffolk Health Department
Registry dates
- Enumerated
- 2006-02-22
- Last updated
- 2010-02-09
Frequently asked questions
- What is Commonwealth of Virginia State Board of Health's NPI number?
- Commonwealth of Virginia State Board of Health's National Provider Identifier (NPI) is 1487629374, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Commonwealth of Virginia State Board of Health?
- Commonwealth of Virginia State Board of Health is classified in the NPPES registry as State or Local Public Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Commonwealth of Virginia State Board of Health located?
- Commonwealth of Virginia State Board of Health's practice location on file with NPPES is 135 Hall Avenue, Suffolk, VA 23434-4657.
- What is Commonwealth of Virginia State Board of Health's phone number?
- The practice phone number listed in the NPPES registry for Commonwealth of Virginia State Board of Health is (757) 514-4700.
- Does Commonwealth of Virginia State Board of Health accept Medicare?
- Commonwealth of Virginia State Board of Health is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Commonwealth of Virginia State Board of Health?
- The authorized official listed on Commonwealth of Virginia State Board of Health's NPPES record is Angela Tillery, Business Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Commonwealth of Virginia State Board of Health's NPI active?
- Yes — Commonwealth of Virginia State Board of Health's NPI (1487629374) is active in the NPPES registry as of the last update on 2010-02-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.