MEDICARE: COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251K00000X	Public Health or Welfare Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053417766
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH

Provider Business Mailing Address
First Line	:	PO BOX 107
Second Line	:
City	:	CUMBERLAND
State	:	VA
Zip	:	23040-0107
Country	:	US
Telephone Number	:	804-492-4661
Fax Number	:	804-492-9463

Provider Business Practice Location Address
First Line	:	15 FOSTER ROAD
Second Line	:
City	:	CUMBERLAND
State	:	VA
Zip	:	23040-2645
Country	:	US
Telephone Number	:	804-492-4661
Fax Number	:	804-492-9463

Authorized Official
Title or Position	:	DISTRICT HEALTH DIRECTOR
Name	:	DR. ALEXANDER P SAMUEL
Credential	:	M.D.
Telephone Number	:	434-392-3984

Provider Enumeration Date	:	09/16/2006
Last Update Date	:	09/21/2010

Similar Medicare Providers

1316725591 — KELLY JEAN LOVE-SCHWARZ FNP-C, AGACNP-BC
Practice Location Address:

1883 ANDERSON HWY
CUMBERLAND, VA
23040-2525

Practice Phone: 434-694-8727
Practice Fax: 434-201-2253

1477656510 — JOHNSON FAMILY PHARMACY INC
Practice Location Address:

1756 ANDERSON HWY
CUMBERLAND, VA
23040

Practice Phone: 804-492-4325
Practice Fax: 804-492-9384

1619072626 — DR. DAVID BRYCE BROWN MD
Practice Location Address:

1758 ANDERSON HWY , CENTRAL SOUTHSIDE PROFESSIONALS LLC
CUMBERLAND, VA
23040-2524

Practice Phone: 804-492-9086
Practice Fax:

1558496091 — KIMBERLY HATCHER WRIGHT RPH
Practice Location Address:

1756 ANDERSON HWY
CUMBERLAND, VA
23040-2524

Practice Phone: 804-492-4325
Practice Fax: 804-492-9384

1265611487 — DAVID BROWN DBA CUMBERLAND MEDICAL
Practice Location Address:

1758 ANDERSON HWY
CUMBERLAND, VA
23040-2524

Practice Phone: 804-492-9086
Practice Fax:

1083895650 — CUMBERLAND COUNTY PUBLIC SCHOOLS
Practice Location Address:

RT. 60
CUMBERLAND, VA
23040-0170

Practice Phone: 804-492-4724
Practice Fax: 804-492-9374

Directions to “COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.