institution
Southern Dominion Health System Inc
Federally Qualified Health Center (FQHC) in Victoria, Virginia
NPI 1467630731

Southern Dominion Health System Inc is a Federally Qualified Health Center (FQHC) based in Victoria, VA and is specialized in Federally Qualified Health Center (FQHC). Southern Dominion Health System Inc practices in Victoria, VA. The NPI Number for Southern Dominion Health System Inc is 1467630731 and holds a License No. (Virginia).

The current practice location address for Southern Dominion Health System Inc is 1508 K V Road, Victoria, VA and can be reached out via phone at 434-696-2165 and via fax at 434-696-1557.

Location: 1508 K V Road, Victoria, VA, 23974-0070
institution
Provider Profile Details
NPI Number
1467630731
Provider Name
Southern Dominion Health System Inc
Credential
Provider Entity Type
Organization
Address
1508 K V Road, Victoria, VA, 23974-0070
Phone Number
434-696-2165
Fax Number
434-696-1557
Provider Enumeration Date
02/08/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
007691084 05 VA
institution
Provider Business Practice Location Address Details
Address
1508 K V Road
City
State
Zip
23974-0070
Phone Number
434-696-2165
Fax Number
434-696-1557
person
Provider Business Mailing Address Details
Address
1508 K V Road
City
State
Zip
23974-0070
Phone Number
434-696-2165
Fax Number
434-696-1557
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
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Definition
Definition to come...
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