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 1700099512

Southern Dominion Health System, Inc is a Federally Qualified Health Center (FQHC) in Amelia Court House, 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.

See every abbreviation used in this directory →

Practice location Address checks out

8920 Otterburn Rd
Amelia Court House, VA 23002-4854
Phone: (804) 561-5150
Fax: (804) 561-6643
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 number1700099512
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSouthern Dominion Health System, Inc
Authorized official April King — Ceo · (434) 696-2165
Other names Amelia Healthcare Center
NPI enumeratedMay 8, 2007
Last updated in NPPESFebruary 7, 2024
Certification dateFebruary 7, 2024
Mailing addressPo Box 70, Victoria, VA 23974-0070