Provider Demographics
NPI:1578761078
Name:RAPPAHANNOCK COUNTY HEALTH DEPT
Entity Type:Organization
Organization Name:RAPPAHANNOCK COUNTY HEALTH DEPT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DANA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCLELLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-316-6303
Mailing Address - Street 1:98 ALEXANDRIA PIKE STE 42
Mailing Address - Street 2:
Mailing Address - City:WARRENTON
Mailing Address - State:VA
Mailing Address - Zip Code:20186-2849
Mailing Address - Country:US
Mailing Address - Phone:540-316-6303
Mailing Address - Fax:
Practice Address - Street 1:338-A GAY STREET
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:VA
Practice Address - Zip Code:22747-1907
Practice Address - Country:US
Practice Address - Phone:540-987-9469
Practice Address - Fax:540-675-1021
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMMONWEALTH OF VIRGINA STATE BOARD OF HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-07-05
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401006380251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV008405077Medicaid