Organization
SOUTHERN DOMINION HEALTH SYSTEM, INC.
Active
Parent organization
SOUTHERN DOMINION HEALTH SYSTEM, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHERN DOMINION HEALTH SYSTEM, INC.
Authorized official
APRIL KING (CEO)
(434) 696-2165
Entity
Organization
Contact information
Practice address
1508 K V RD, VICTORIA, VA 23974-2624
(434) 696-2165
(434) 696-1378
Mailing address
PO BOX 70, VICTORIA, VA 23974-0070
(434) 696-2165
(434) 696-1378
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
VA
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
VA
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
Other
Enumeration date
01/27/2006
Last updated
02/07/2024
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