1. Home
  2. Directory
  3. Virginia
  4. Courtland
  5. Clinic Center
  6. NPI Profile

SOUTHAMPTON COUNTY HEALTH DEPARTMENT
NPI 1053386979
Clinic/Center - Public Health, State or Local in Courtland, VA

Active since February 22, 2006
26022 ADMINISTRATIVE CENTER DRIVE, COURTLAND, VA 23837(757) 653-3040(757) 653-0834 Get Directions Write a Review

NPPES record last updated: June 9, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southampton County Health Department NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHAMPTON COUNTY HEALTH DEPARTMENT (NPI 1053386979) is a healthcare organization registered as a public health, state or local in Courtland, Virginia and active in the NPI registry since February 2006. The organization lists Angela Yvette Tillery, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1053386979
Entity TypeOrganization
Primary Taxonomy261QP0905X
Legal Business NameCOMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Location Address26022 ADMINISTRATIVE CENTER DRIVECourtland, VA 23837-0009
Mailing Address26022 Administrative Center Drive, Po Box 09Courtland, VA 23837-0009 · (757) 653-3040 · Fax (757) 653-0834
Phone(757) 653-3040
Fax(757) 653-0834
Organization SubpartNo
Authorized OfficialAngela Yvette TilleryBusiness Manager · (757) 514-4765
Enumeration DateFebruary 22, 2006
Last NPPES UpdateJune 9, 2011
✔ NPI 1053386979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Public Health, State or LocalAmbulatory Health Care Facilities
Taxonomy Code261QP0905X
26022 ADMINISTRATIVE CENTER DRIVE, Courtland, VA 23837
Open in Google Maps ↗

Other Names 1

Doing Business AsSouthampton County Health Department

Other Identifiers 6

Medicaid497229VA
Medicaid008770280VA
Medicaid008700681VA
Medicare ID-Type Unspecified600000008Clinic
Medicaid8450714VA
Medicaid4975952VA

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
97 services96 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
93 services92 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Commonwealth Of Virginia State Board Of Health's NPI number?

The NPI number for Commonwealth Of Virginia State Board Of Health is 1053386979. It was assigned to this organization in the NPPES registry on February 22, 2006. The provider is doing business as Southampton County Health Department.

Where is Commonwealth Of Virginia State Board Of Health located?

Commonwealth Of Virginia State Board Of Health is located at 26022 Administrative Center Drive, Courtland, VA 23837. The listed phone number is (757) 653-3040.

What is Commonwealth Of Virginia State Board Of Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Public Health, State or Local, with taxonomy code 261QP0905X.

When was this NPI record last updated?

The NPPES record for Commonwealth Of Virginia State Board Of Health was last updated on June 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.