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Contact Information

SOUTHERN DOMINION HEALTH SYSTEM, INC.
1508 K V RD
VICTORIA, VA23974-2624
 Phone: 434-696-2165
 Fax: 434-696-1378
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for SOUTHERN DOMINION HEALTH SYSTEM, INC.

NPI # 1295706588
LBN Legal business name SOUTHERN DOMINION HEALTH SYSTEM, INC.
Authorized official APRIL KING - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 01/27/2006
Last updated 02/07/2024 - About 2 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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