Organization · Type 2 NPI

Southern Dominion Health System, Inc.

Federally Qualified Health Center (FQHC) · Amelia Court House, VA

NPI number 1700099512 Active

Practice location

8920 Otterburn Rd
Amelia Court House, VA 23002-4854

Call (804) 561-5150 Map

Fax (804) 561-6643

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...

About NPI 1700099512

Southern Dominion Health System, Inc.'s National Provider Identifier is 1700099512, issued on May 8, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Amelia Court House, VA. The record was last updated on Feb 7, 2024.