DOMINION HEALTH MEDICAL ASSOC NPI 1568933182

NPI Information

NPI: 1568933182
Provider Name: DOMINION HEALTH MEDICAL ASSOC
Classification: Clinic/Center - 261QX0100X
Entity Type: Organization

Specialization: Occupational Medicine

Address:
101 AUBREYS LOOP
SOUTH BOSTON, VA
ZIP 24592
Phone: (434) 517-3879
Get Directions

DOMINION HEALTH MEDICAL ASSOC is an occupational medicine clinic center in South Boston, VA. DOMINION HEALTH MEDICAL ASSOC NPI is 1568933182. The provider is registered as an organization entity type.

The provider's business location address is:

101 AUBREYS LOOP
SOUTH BOSTON, VA
ZIP 24592-054
Phone: (434) 517-3879

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

The enumeration date for this NPI number is 12/7/2018 and was last updated on 12/7/2018.

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	261QX0100X	Clinic/Center	Occupational Medicine			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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »