Northampton County, Virginia is located in the Eastern Shore Health District. It has 211.7 square miles of land area and is the 85th largest county in Virginia by total area. It is bordered by Mathews, Norfolk City, Middlesex, York, Poquoson, Accomack, Virginia Beach City, and Hampton City Counties. There are 4 census tracts in the county. The county FIPS number is 51131.
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