COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
NPI: 1902902612
· NOTTOWAY, VA 23955
· Public Health or Welfare Agency
· NPI assigned 09/16/2006
$232.45
Total Medicaid Paid
Provider Details
| Authorized Official | SAMUEL, ALEXANDER (DISTRICT HEALTH DIRECTOR) |
| NPI Enumeration Date | 09/16/2006 |
Related Entities
Other providers sharing the same authorized official: SAMUEL, ALEXANDER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
25 |
$232.45 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90715 |
|
25 |
22 |
$232.45 |