DOMINION HEALTH MEDICAL ASSOC.; NPI #1255771770

Contact Information

DOMINION HEALTH MEDICAL ASSOC.

2212 WILBORN AVE
SOUTH BOSTON, VA 24592

Phone: 434-517-3529
Fax: 434-517-3887
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for DOMINION HEALTH MEDICAL ASSOC.

NPI Number	`1255771770`
LBN Legal business name	DOMINION HEALTH MEDICAL ASSOC.
Authorized official	CECIL HAZELWOOD - (MANAGER (SDHG))
Entity	Organization
Organization subpart ¹	No
Enumeration date	06/28/2013
Last updated	02/10/2015 - About 11 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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