Organization · Type 2 NPI
Southern Dominion Health System, Inc.
Federally Qualified Health Center (FQHC) · Dinwiddie, VA
NPI number
1124310446
Active
Practice location
13855 Courthouse Road
Dinwiddie, VA 23841
Fax (804) 469-5307
Mailing address
PO Box 70
Victoria, VA 23974-0070
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
Other federally qualified health center (fqhc) providers in Dinwiddie
About NPI 1124310446
Southern Dominion Health System, Inc.'s National Provider Identifier is 1124310446, issued on May 4, 2011. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Dinwiddie, VA. The record was last updated on Feb 3, 2014.