Organization
SOUTHERN DOMINION HEALTH SYSTEM, INC.
Active
Organization
SOUTHERN DOMINION HEALTH SYSTEM, INC.
Active
Parent organization
SOUTHERN DOMINION HEALTH SYSTEM, INC.
Other names
Amelia Life Care, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHERN DOMINION HEALTH SYSTEM, INC.
Authorized official
MRS. JILL W. SEAMANS (CFO)
(434) 696-2165
Entity
Organization
Contact information
Practice address
8830 VIRGINIA STREET, AMELIA, VA 23002
(434) 696-2165
(434) 696-1557
Mailing address
PO BOX 70, VICTORIA, VA 23974-0070
(434) 696-2165
(434) 696-1557
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
VA
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
Other
Enumeration date
05/11/2012
Last updated
12/03/2015
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