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CH03418L SOUTHERN DOMINION HEALTH SYSTEMS, INC. (Active)
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Main Details
Name
SOUTHERN DOMINION HEALTH SYSTEMS, INC.
Subdivision Name
AMELIA HEALTHCARE CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001854
340B ID
CH03418L
Grant Number
H80CS00173
Additional Details
Current Program Status
Active
Registration Date
4/1/2005
Participating Start Date
4/1/2005
Participating Approval Date
3/11/2005
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Southern Dominion Health System, Inc.
April King, CEO
(434) 696-2165 Ext: 212
Primary Contact
SDHS
Trisha Currin, Compliance Officer
(434) 696-2165
Addresses
Street Address
8920 Otterburn Rd
Amelia Court House, VA 23002-4854
Billing Address
SOUTHERN DOMINION HEALTH SYSTEMS, INC.
P.O. BOX 70
VICTORIA, VA 23974
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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NEW SITE 04/01/05
02/28/2011
June 2025
June 2025
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