Organization · Type 2 NPI
Southern Dominion Health System Inc
Federally Qualified Health Center (FQHC) · Victoria, VA
NPI number
1467630731
Active
Practice location
1508 K V Road
Victoria, VA 23974-0070
Fax (434) 696-1557
Mailing address
PO Box 70
Victoria, VA 23974-0070
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1467630731
Southern Dominion Health System Inc's National Provider Identifier is 1467630731, issued on Feb 8, 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 10, 2015.