Organization · Type 2 NPI

Southern Dominion Health System, Inc.

Federally Qualified Health Center (FQHC) · Victoria, VA

NPI number 1104069996 Active

Practice location

1508 K V Rd
Victoria, VA 23974-2624

Call (434) 696-2319 Map

Fax (434) 696-2326

Mailing address

PO Box 70
Victoria, VA 23974-0070

Other practice locations

  • 13855 Courthouse Rd, Dinwiddie, VA 23841-2254 · (804) 469-3731

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed
Federally Qualified Health Center (FQHC) 261QF0400XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

8 other providers at this address

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About NPI 1104069996

Southern Dominion Health System, Inc.'s National Provider Identifier is 1104069996, issued on Apr 9, 2009. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Victoria, VA. The record was last updated on Feb 7, 2024.