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.
8830 VIRGINIA STREET
AMELIA COURT HOUSE, VA23002
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 1811256787
Legal business name
LBN
SOUTHERN DOMINION HEALTH SYSTEM, INC.
Authorized official JILL SEAMANS - (CFO)
Entity Organization
Organization subpart Yes
Enumeration date 05/11/2012
Last updated 12/03/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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