Organization · Type 2 NPI
Southern Dominion Health System, Inc.
Federally Qualified Health Center (FQHC) · Dinwiddie, VA
NPI number
1487867206
Active
Practice location
13855 Courthouse Rd
Dinwiddie, VA 23841-2254
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...
5 other providers at this address
- Amanda RussellFamily Medicine Physician Dinwiddie, VA NPI 1114312295
- Elizabeth Stanley, MSN, APRN, FNP-CFamily Nurse Practitioner Dinwiddie, VA NPI 1801659826
- Heather M. Gigon, NPFamily Nurse Practitioner Dinwiddie, VA NPI 1205140605
- Hyo Kwon Park, DOFamily Medicine Physician Dinwiddie, VA NPI 1730170770
- Jennifer A. Cardone, MDSpecialist Dinwiddie, VA NPI 1952390858
Other federally qualified health center (fqhc) providers in Dinwiddie
About NPI 1487867206
Southern Dominion Health System, Inc.'s National Provider Identifier is 1487867206, issued on May 8, 2007. 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 7, 2024.