Provider Demographics
NPI:1407802200
Name:ALLEGHANY CO/COVINGTON HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:ALLEGHANY CO/COVINGTON HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:H
Authorized Official - Last Name:HOEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-857-7800
Mailing Address - Street 1:PO BOX 747
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:24426-0747
Mailing Address - Country:US
Mailing Address - Phone:540-962-2173
Mailing Address - Fax:540-962-8353
Practice Address - Street 1:321 E BEECH ST
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:VA
Practice Address - Zip Code:24426-2013
Practice Address - Country:US
Practice Address - Phone:540-962-2173
Practice Address - Fax:540-962-8353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA251B00000X, 251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251B00000XAgenciesCase Management
Not Answered251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA4975235Medicaid