Sentara Volens Family Medicine

LBN: Dominion Health Medical Assoc.
Sentara Volens Family Medicine is an health care organization with primary practice located at 15210 L. P. Bailey Memorial Hwy , South Boston VA 24592. The organization recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as the primary health care specialty. Dominion Health Medical Assoc. can be contacted via phone (434) 349-3113, or through Hazelwood, Cecil via phone (434) 517-3590.

Contact Information

Primary practice address
15210 L. P. Bailey Memorial Hwy South Boston VA 24592
Fax: (434) 517-3887
Website:
Authorized official contact:
Name: Hazelwood, Cecil

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 0101032102 Virginia

Profile Details

NPI number 1386737682
LBN Legal business name Dominion Health Medical Assoc.
DBA Doing business as Sentara Volens Family Medicine
Authorized official Hazelwood, Cecil
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2006
Last updated Feb 10th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386737682 NPPES
Virginia MEDICAID 007610661

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