Organization · Type 2 NPI
Southern Dominion Health System, Inc.
Federally Qualified Health Center (FQHC) · Victoria, VA
NPI number
1497969091
Active
Practice location
1508 K-V Road
Victoria, VA 23974
Fax (434) 696-1378
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...
4 other providers at this address
- Jacquelin S. Daniel, CNPFamily Nurse Practitioner Victoria, VA NPI 1083619563
- John Alfred Holland Jr., MDFamily Medicine Physician Victoria, VA NPI 1730339664
- Kuriakose V. Thekkethala, MDFamily Medicine Physician Victoria, VA NPI 1427293778
- Michael E. Hurst, MDPediatrics Physician Victoria, VA NPI 1457321622
Other federally qualified health center (fqhc) providers in Victoria
- Southern Dominion Health System, Inc.Federally Qualified Health Center (FQHC) Victoria, VA NPI 1104069996
- Southern Dominion Health System, Inc.Federally Qualified Health Center (FQHC) Victoria, VA NPI 1295706588
- Southern Dominion Health System, Inc.Federally Qualified Health Center (FQHC) Victoria, VA NPI 1396995940
- Southern Dominion Health System IncFederally Qualified Health Center (FQHC) Victoria, VA NPI 1467630731
About NPI 1497969091
Southern Dominion Health System, Inc.'s National Provider Identifier is 1497969091, issued on May 10, 2007. 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.