SENTORA HALIFAX GENERAL SURGERY – NPI #1255771770
Clinic/Center

SENTORA HALIFAX GENERAL SURGERY is an AHC clinic located in SOUTH BOSTON, VA. NPPES has assigned the NPI number 1255771770 to SENTORA HALIFAX GENERAL SURGERY on June 28, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SENTORA HALIFAX GENERAL SURGERY” is a dba name, the actual legal business name for this organization is DOMINION HEALTH MEDICAL ASSOC.. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 11 years ago on Feb 10, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SENTORA HALIFAX GENERAL SURGERY below.

NPI Profile for
DOMINION HEALTH MEDICAL ASSOC.

NPI Number
1255771770
Enumeration Date

(about 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DOMINION HEALTH MEDICAL ASSOC.
Doing Business As (dba): SENTORA HALIFAX GENERAL SURGERY
Primary location
2212 WILBORN AVE
SOUTH BOSTON, VA 24592
Phone: (434) 517-3529 Fax: (434) 517-3887
Mailing address
P.O. BOX 860
SOUTH BOSTON, VA 24592
Phone: (434) 517-3513 Fax: (434) 517-3887
Organization Subpart
No
Authorized Official
CECIL HAZELWOOD
MANAGER (SDHG)
Phone: (434) 517-3590
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.