| Southern Dominion Health System, Inc. | |
|
1508 K V Rd Victoria VA 23974-2624 | |
| (434) 696-2319 | |
| (434) 696-2326 |
| Full Name | Southern Dominion Health System, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1508 K V Rd, Victoria, Virginia |
| Authorized Official Name and Position | April King (CEO) |
| Authorized Official Contact | 4346962165 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Dominion Health System, Inc. Po Box 70 Victoria VA 23974-0070 Ph: (434) 696-2165 | Southern Dominion Health System, Inc. 1508 K V Rd Victoria VA 23974-2624 Ph: (434) 696-2319 |
| NPI Number | 1104069996 |
|---|---|
| Provider Enumeration Date | 04/09/2009 |
| Last Update Date | 02/07/2024 |
| Certification Date | 02/07/2024 |
| Medicare PECOS PAC ID | 0648188755 |
|---|---|
| Medicare Enrollment ID | O20090518000439 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104069996 | NPI | - | NPPES |
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Family Preservation Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1521 8th St, Victoria, VA 23974 Phone: 434-696-4633 Fax: 434-696-4634 | |
Family Preservation Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 131 Kv Road, Victoria, VA 23974 Phone: 434-696-4633 Fax: 434-696-4634 | |
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Family Preservation Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1521 8th St, Victoria, VA 23974 Phone: 434-696-4633 Fax: 434-696-4634 | |
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