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.
8920 OTTERBURN RD
AMELIA COURT HOUSE, VA23002-4854
Phone: 804-561-5150
Fax: 804-561-6643
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

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

NPI Number 1700099512
Legal business name
LBN
SOUTHERN DOMINION HEALTH SYSTEM, INC.
Authorized official APRIL KING - (CEO)
Entity Organization
Organization subpart Yes
Enumeration date 05/08/2007
Last updated 02/07/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers
  • VA Medicaid: 010192862

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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