National Provider Identifier Database

SOUTHERN DOMINION HEALTH SYSTEM INC
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

SOUTHERN DOMINION HEALTH SYSTEM INC
1508 K V ROAD
VICTORIA, VA23974-0070
Phone: 434-696-2165
Fax: 434-696-1557
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for SOUTHERN DOMINION HEALTH SYSTEM INC

NPI Number 1467630731
Legal business name
LBN
SOUTHERN DOMINION HEALTH SYSTEM INC
Authorized official SCOTT DAVIS - (CEO)
Entity Organization
Organization subpart No
Enumeration date 02/08/2008
Last updated 02/10/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • VA Medicaid: 007691084

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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