Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southern Dominion Health System, Inc

Organization Federally Qualified Health Center (FQHC) · NPI 1487867206

Southern Dominion Health System, Inc is a Federally Qualified Health Center (FQHC) in Dinwiddie, Virginia. Licensed in Virginia. Registered with an NPI since 2007.

Licensed in
VA
In the registry since
2007
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13855 Courthouse Rd
Dinwiddie, VA 23841-2254
Phone: (804) 469-3731
Fax: (804) 469-5307
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X (VA)
Federally Qualified Health Center (FQHC) Taxonomy 261QF0400X

Record details

NPI number1487867206
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSouthern Dominion Health System, Inc
Authorized official April King — Ceo · (434) 696-2165
Other names Dinwiddie Medical Center
NPI enumeratedMay 8, 2007
Last updated in NPPESFebruary 7, 2024
Certification dateFebruary 7, 2024
Mailing addressPo Box 70, Victoria, VA 23974-0070

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