| Organization Name: | SOUTHERN VIRGINIA UNIVERSITY |
| NPI Number: | 1083015960 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHAD MAHAFFEY (HEAD ATHLETIC TRAINER) |
| Mailing Address: | 1 University Hill Dr Knight Sports Arena Buena Vista |
| State: | VA US |
| Postal Code: | 244163038 |
| Phone Number: | 5402614931 |
| Fax Number: | 5402663866 |
| NPI Enumeration Date: | 09/10/2014 |
| NPI Last Update Date: | 09/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QS1000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Student Health |
| Taxonomy Definition: | |