Southern Dominion Health System, Inc. in Victoria - Federally Qualified Health Center (fqhc)
Southern Dominion Health System, Inc. - NPI 1497969091
Southern Dominion Health System, Inc. is a Federally Qualified Health Center (fqhc) in Victoria, Virginia. Southern Dominion Health System, Inc. practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Southern Dominion Health System, Inc. is 1497969091. The last update date is 2015-11-25.
Southern Dominion Health System, Inc.'s current location address is Po Box 70, Victoria, Virginia. You can contact this provider via phone number 4346962165 and fax number 4346961378. The mailing address for Southern Dominion Health System, Inc. is Po Box 70, Victoria, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southern Dominion Health System, Inc. |
|---|---|
| Address | Po Box 70, Victoria, Virginia |
| Phone Number | 4346962165 |
| Fax Number | 4346961378 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Seamans W. Jill |
| Telephone Number | 4346962165 |
NPI Number Detail
| NPI Number | 1497969091 |
|---|---|
| Provider Enumeration Date | 2007-05-10 |
| Last Updated Date | 2015-11-25 |
Provider Mailing Address Detail
| Address | Po Box 70 |
|---|---|
| City | Victoria |
| State | Virginia (VA) |
| Post Code | 239740070 |
| Phone Number | 4346962165 |
| Fax Number | 4346961378 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7691084 | VA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Southern Dominion Health System, Inc. by the Centers for Medicare & Medicaid Services?
The Southern Dominion Health System, Inc. has been assigned the NPI (National Provider Identifier) 1497969091 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Southern Dominion Health System, Inc. is physically located?
The Southern Dominion Health System, Inc. is situated at the following address: Po Box 70, Victoria, VA 239740070.
What is Southern Dominion Health System, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Southern Dominion Health System, Inc.'s specialized field of practice is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this area of specialization is 261Qf0400X.
When was the Southern Dominion Health System, Inc.'s 1497969091 issued?
The Southern Dominion Health System, Inc.'s 1497969091 was issued on 2007-05-10.
As of what date were the Southern Dominion Health System, Inc.'s details last updated?
The information pertaining to the Southern Dominion Health System, Inc., including its address, specialty, and other details, was most recently updated on 2015-11-25.