SENTARA HALIFAX EMERGENCY PHYSICIAL – NPI #1134407570
Clinic/Center

SENTARA HALIFAX EMERGENCY PHYSICIAL is an AHC clinic located in SOUTH BOSTON, VA. NPPES has assigned the NPI number 1134407570 to SENTARA HALIFAX EMERGENCY PHYSICIAL on August 03, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SENTARA HALIFAX EMERGENCY PHYSICIAL” 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 261QE0002X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Emergency Care

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 SENTARA HALIFAX EMERGENCY PHYSICIAL below.

NPI Profile for
DOMINION HEALTH MEDICAL ASSOC

NPI Number
1134407570
Enumeration Date

(about 15 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): SENTARA HALIFAX EMERGENCY PHYSICIAL
Primary location
2204 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 DHMA
Phone: (434) 517-3515
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
261QE0002X
- Clinic/Center / Emergency Care (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.