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Southern Dominion Health System Inc

Federally Qualified Health Center (FQHC) in Victoria, VA · enumerated 2008 · authorized official Scott Davis, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1467630731

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Registry record

Entity type Organization (Type 2)
Legal business name Southern Dominion Health System Inc
Other name <Unavail>
Practice address 1508 K V Road, Victoria, VA, 23974
Phone (434) 696-2165
Fax (434) 696-1557
Enumeration date Feb 8, 2008
Last updated in NPPES Feb 10, 2015

Taxonomy & classification

261QF0400X Federally Qualified Health Center (FQHC) Ambulatory Health Care Facilities Primary

Authorized official

Name Scott Davis
Title Ceo
Phone (434) 696-2165

Other identifiers

Identifier Type State Issuer
007691084 Medicaid VA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-02-10. Verify at npiregistry.cms.hhs.gov.
Where is Southern Dominion Health System Inc located?
The practice location on file with NPPES is in Victoria, VA.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-02-10.