Southern Dominion Health System, Inc.

NPI #1982817706 in Emporia, Virginia

Provider Information

NPI Number: 1982817706
Entity Type: Organization
Organization Name: Southern Dominion Health System, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: SOUTHERN DOMINION HEALTH SYSTEM, INC.
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: May 8, 2007
Last Updated: Feb 7, 2024

Practice Location

Address: 510 N MAIN ST
City: Emporia
State: Virginia
ZIP Code: 23847-1236
Phone: (434) 634-7723

Authorized Official

Name: APRIL KING
Title: CEO
Phone: (434) 696-2165

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X	Primary

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