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DOMINION HEALTH MEDICAL ASSOCIATES NPI 1801175567


NPI Information

NPI: 1801175567
Provider Name: DOMINION HEALTH MEDICAL ASSOCIATES

Doing Business As: HALIFAX UROLOGY ASSOCIATES

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
2232 WILBORN AVE
SOUTH BOSTON, VA
ZIP 24592
Phone: (434) 517-3100
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DOMINION HEALTH MEDICAL ASSOCIATES is a clinic center in South Boston, VA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). DOMINION HEALTH MEDICAL ASSOCIATES NPI is 1801175567. The provider is registered as an organization entity type.
The provider Is Doing Business As Halifax Urology Associates.

The provider's business location address is:

2232 WILBORN AVE
SOUTH BOSTON, VA
ZIP 24592-662
Phone: (434) 517-3100

The provider's authorized official is Stewart Nelson .
The authorized official title is Ceo and has the following contact phone number (434) 517-3183.

The enumeration date for this NPI number is 8/12/2011 and was last updated on 8/12/2011.


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
1261Q00000XClinic/Center0101037012VIRGINIAYes

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

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