Organization · Type 2 NPI

Southern Dominion Health System, Inc.

Federally Qualified Health Center (FQHC) · Victoria, VA

NPI number 1396995940 Active

Practice location

1418 6th Street
Victoria, VA 23974

Call (434) 696-4180 Map

Fax (434) 696-4182

Mailing address

PO Box 70
Victoria, VA 23974-0070

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

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About NPI 1396995940

Southern Dominion Health System, Inc.'s National Provider Identifier is 1396995940, issued on Sep 19, 2008. 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 8, 2024.