institution
Southern Dominion Health System, Inc.
Federally Qualified Health Center (FQHC) in Emporia, Virginia
NPI 1982817706

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 Emporia, VA. The NPI Number for Southern Dominion Health System, Inc. is 1982817706 and holds a License No. (Virginia).

The current practice location address for Southern Dominion Health System, Inc. is 510 N Main St, Emporia, VA and can be reached out via phone at 434-634-7723 and via fax at 434-634-7727.

Location: 510 N Main St, Emporia, VA, 23974-0070
institution
Provider Profile Details
NPI Number
1982817706
Provider Name
Southern Dominion Health System, Inc.
Credential
Provider Entity Type
Organization
Address
510 N Main St, Emporia, VA, 23974-0070
Phone Number
434-634-7723
Fax Number
434-634-7727
Provider Enumeration Date
05/08/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
007604394 05 VA
institution
Provider Business Practice Location Address Details
Address
510 N Main St
City
State
Zip
23847-1236
Phone Number
434-634-7723
Fax Number
434-634-7727
person
Provider Business Mailing Address Details
Address
510 N Main St
City
State
Zip
23847-1236
Phone Number
434-634-7723
Fax Number
434-634-7727
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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