Southern Dominion Health System, Inc. - Medicare Primary Care in Dinwiddie, VA

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Southern Dominion Health System, Inc. is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Dinwiddie, Virginia. The current practice location for Southern Dominion Health System, Inc. is 13855 Courthouse Rd, Dinwiddie, Virginia. For appointments, you can reach them via phone at (804) 469-3731. The mailing address for Southern Dominion Health System, Inc. is Po Box 70, Victoria, Virginia and phone number is (434) 696-2165.

Southern Dominion Health System, Inc. is licensed to practice in Virginia (license number ). The clinic also participates in the medicare program and its NPI number is 1487867206. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (804) 469-3731.

Contact Information

Southern Dominion Health System, Inc.
13855 Courthouse Rd
Dinwiddie
VA 23841-2254
(804) 469-3731
(804) 469-5307

Map and Direction


Primary Care Clinic Profile

Full NameSouthern Dominion Health System, Inc.
SpecialityClinic/Center
Location13855 Courthouse Rd, Dinwiddie, Virginia
Authorized Official Name and PositionApril King (CEO)
Authorized Official Contact4346962165
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Southern Dominion Health System, Inc.
Po Box 70
Victoria
VA 23974-0070

Ph: (434) 696-2165		Southern Dominion Health System, Inc.
13855 Courthouse Rd
Dinwiddie
VA 23841-2254

Ph: (804) 469-3731

NPI Details:

NPI Number1487867206
Provider Enumeration Date05/08/2007
Last Update Date02/07/2024

Medicare PECOS Information:

Medicare PECOS PAC ID0648188755
Medicare Enrollment IDO20080110000518

Medical Identifiers

Medical identifiers for Southern Dominion Health System, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487867206NPI-NPPES
007604025MedicaidVA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Secondary
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (Virginia)Primary

Reviews and Comments


Clinic/Center in Dinwiddie, VA

Southern Dominion Health System, Inc.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 13855 Courthouse Road, Dinwiddie, VA 23841
Phone: 804-469-3731    Fax: 804-469-5307

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.