institution
Southern Dominion Health System, Inc.
Federally Qualified Health Center (FQHC) in Amelia Court House, Virginia
NPI 1700099512

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 Amelia Court House, VA. The NPI Number for Southern Dominion Health System, Inc. is 1700099512 and holds a License No. (Virginia).

The current practice location address for Southern Dominion Health System, Inc. is 8920 Otterburn Rd, Amelia Court House, VA and can be reached out via phone at 804-561-5150 and via fax at 804-561-6643.

Location: 8920 Otterburn Rd, Amelia Court House, VA, 23974-0070
institution
Provider Profile Details
NPI Number
1700099512
Provider Name
Southern Dominion Health System, Inc.
Credential
Provider Entity Type
Organization
Address
8920 Otterburn Rd, Amelia Court House, VA, 23974-0070
Phone Number
804-561-5150
Fax Number
804-561-6643
Provider Enumeration Date
05/08/2007
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
010192862 05 VA
institution
Provider Business Practice Location Address Details
Address
8920 Otterburn Rd
City
State
Zip
23002-4854
Phone Number
804-561-5150
Fax Number
804-561-6643
person
Provider Business Mailing Address Details
Address
8920 Otterburn Rd
City
State
Zip
23002-4854
Phone Number
804-561-5150
Fax Number
804-561-6643
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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