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 1811256787

Southern Dominion Health System, Inc is a Federally Qualified Health Center (FQHC) in Amelia, Virginia. Licensed in Virginia. Registered with an NPI since 2012.

Licensed in
VA
In the registry since
2012
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

8830 Virginia St
Amelia, VA 23002
Phone: (434) 696-2165
Fax: (434) 696-1557
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 number1811256787
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSouthern Dominion Health System, Inc
Authorized official Jill Seamans — Cfo · (434) 696-2165
Other names Amelia Life Care, Llc
NPI enumeratedMay 11, 2012
Last updated in NPPESDecember 3, 2015
Mailing addressPo Box 70, Victoria, VA 23974-0070