Sentora Southern Virginia Ear ,Nose,Throat

LBN: Dominion Health Medical Assoc
Sentora Southern Virginia Ear ,Nose,Throat is an health care organization with primary practice located at 2232 Wilborn Ave Suite F, South Boston VA 24592. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Dominion Health Medical Assoc can be contacted via phone (434) 517-8095, or through Hazelwood, Cecil F via phone (434) 517-3515.

Contact Information

Primary practice address
2232 Wilborn Ave Suite F South Boston VA 24592
Phone: (434) 517-8095
Fax: (434) 517-3887
Website:
Map and Directions
Authorized official contact:
Name: Hazelwood, Cecil F
Phone: (434) 517-3515

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1427306315
LBN Legal business name Dominion Health Medical Assoc
DBA Doing business as Sentora Southern Virginia Ear ,Nose,Throat
Authorized official Hazelwood, Cecil F
Entity Organization
Organization subpart 1 No
Enumeration date Aug 27th, 2012
Last updated Feb 10th, 2015 - about 9 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 1427306315 NPPES
Virginia Other 0101251391 VIRGINIA LICENSE

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