institution
Southern Dominion Health System, Inc.
Federally Qualified Health Center (FQHC) in Dinwiddie, Virginia
NPI 1487867206

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 Dinwiddie, VA. The NPI Number for Southern Dominion Health System, Inc. is 1487867206 and holds a License No. (Virginia).

The current practice location address for Southern Dominion Health System, Inc. is 13855 Courthouse Rd, Dinwiddie, VA and can be reached out via phone at 804-469-3731 and via fax at 804-469-5307.

Location: 13855 Courthouse Rd, Dinwiddie, VA, 23974-0070
institution
Provider Profile Details
NPI Number
1487867206
Provider Name
Southern Dominion Health System, Inc.
Credential
Provider Entity Type
Organization
Address
13855 Courthouse Rd, Dinwiddie, VA, 23974-0070
Phone Number
804-469-3731
Fax Number
804-469-5307
Provider Enumeration Date
05/08/2007
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
007604025 05 VA
institution
Provider Business Practice Location Address Details
Address
13855 Courthouse Rd
City
State
Zip
23841-2254
Phone Number
804-469-3731
Fax Number
804-469-5307
person
Provider Business Mailing Address Details
Address
13855 Courthouse Rd
City
State
Zip
23841-2254
Phone Number
804-469-3731
Fax Number
804-469-5307
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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