Southern Dominion Health System, Inc. is a primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Amelia, Virginia. The current practice location for Southern Dominion Health System, Inc. is 8830 Virginia Street, Amelia, Virginia. For appointments, you can reach them via phone at
(434) 696-2165. The mailing address for Southern Dominion Health System, Inc. is Po Box 70, Victoria, Virginia and phone number is (434) 696-2165.
Southern Dominion Health System, Inc. is licensed to practice in Virginia (license number ) and its
NPI number is 1811256787. This medical practice
does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at
(434) 696-2165.
Primary Care Clinic Profile
| Full Name | Southern Dominion Health System, Inc. |
|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
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| Location | 8830 Virginia Street, Amelia, Virginia |
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| Authorized Official Name and Position | Jill W. Seamans (CFO) |
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| Authorized Official Contact | 4346962165 |
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| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
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Mailing Address and Practice Location
| 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.
8830 Virginia Street
Amelia
VA 23002
Ph: (434) 696-2165 |
NPI Details:
| NPI Number | 1811256787 |
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| Provider Enumeration Date | 05/11/2012 |
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| Last Update Date | 12/03/2015 |
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Medical Identifiers
Medical identifiers for Southern Dominion Health System, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811256787 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Virginia) | Primary |
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