DOMINION HEALTH MEDICAL ASSOC NPI 1134407570

NPI Information

NPI: 1134407570
Provider Name: DOMINION HEALTH MEDICAL ASSOC

Doing Business As: SENTARA HALIFAX EMERGENCY PHYSICIAL

Classification: Clinic/Center - 261QE0002X
Entity Type: Organization

Specialization: Emergency Care

Address:
2204 WILBORN AVE
SOUTH BOSTON, VA
ZIP 24592
Phone: (434) 517-3529
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DOMINION HEALTH MEDICAL ASSOC is an emergency care clinic center in South Boston, VA. DOMINION HEALTH MEDICAL ASSOC NPI is 1134407570. The provider is registered as an organization entity type.
The provider Is Doing Business As Sentara Halifax Emergency Physicial.

The provider's business location address is:

2204 WILBORN AVE
SOUTH BOSTON, VA
ZIP 24592
Phone: (434) 517-3529
Fax: (434) 517-3887

The provider's authorized official is Cecil Hazelwood .
The authorized official title is Manager Dhma and has the following contact phone number (434) 517-3515.

The enumeration date for this NPI number is 8/3/2011 and was last updated on 2/10/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0002X	Clinic/Center	Emergency Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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