COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
NPI: 1528029675
· KING WILLIAM, VA 23086
· Public Health or Welfare Agency
· NPI assigned 03/29/2006
$163.82
Total Medicaid Paid
Provider Details
| Authorized Official | HOUSE, SHERRY (ADMINISTRATOR) |
| NPI Enumeration Date | 03/29/2006 |
Related Entities
Other providers sharing the same authorized official: HOUSE, SHERRY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
12 |
$163.82 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90734 |
|
12 |
12 |
$163.82 |