Provider Demographics
NPI:1770651838
Name:VIRGINIA DEPARTMENT OF HEALTH
Entity type:Organization
Organization Name:VIRGINIA DEPARTMENT OF HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, VIRGINIA WIC PROGRAM
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:T
Authorized Official - Last Name:SEWARD
Authorized Official - Suffix:
Authorized Official - Credentials:CHE
Authorized Official - Phone:804-864-7850
Mailing Address - Street 1:109 GOVERNOR ST
Mailing Address - Street 2:9TH FLOOR
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23219-3623
Mailing Address - Country:US
Mailing Address - Phone:804-864-7800
Mailing Address - Fax:804-864-7854
Practice Address - Street 1:109 GOVERNOR ST
Practice Address - Street 2:9TH FLOOR
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23219-3623
Practice Address - Country:US
Practice Address - Phone:804-864-7800
Practice Address - Fax:804-864-7854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare