Organization · Type 2 NPI
Southern Dominion Health System, Inc.
Federally Qualified Health Center (FQHC) · Emporia, VA
NPI number
1982817706
Active
Practice location
510 N Main St
Emporia, VA 23847-1236
Fax (434) 634-7727
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...
3 other providers at this address
About NPI 1982817706
Southern Dominion Health System, Inc.'s National Provider Identifier is 1982817706, issued on May 8, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Emporia, VA. The record was last updated on Feb 7, 2024.