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SOUTHSIDE COMMUNITY HOSPITAL, INC.
NPI 1083053672
Pharmacy - Clinic Pharmacy in Farmville, VA

Active since June 18, 2013CLIA Certified · 2 labs
800 OAK ST, FARMVILLE, VA 23901(434) 315-2740(434) 315-2741 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southside Community Hospital, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHSIDE COMMUNITY HOSPITAL, INC. (NPI 1083053672) is a healthcare organization registered as a clinic pharmacy in Farmville, Virginia and active in the NPI registry since June 2013. The organization holds 2 active CLIA laboratory certificates and lists Doug Davenport, Cfo, as its authorized official.

NPPES Registry Identity

NPI1083053672
Entity TypeOrganization
Primary Taxonomy3336C0002X
Legal Business NameSOUTHSIDE COMMUNITY HOSPITAL, INC.
Location Address800 OAK STFarmville, VA 23901-1199
Mailing Address800 Oak StFarmville, VA 23901-1199 · (434) 315-2740 · Fax (434) 315-2741
Phone(434) 315-2740
Fax(434) 315-2741
Organization SubpartNo
Authorized OfficialDoug DavenportCfo · (434) 200-4708
Enumeration DateJune 18, 2013
Last NPPES UpdateMarch 30, 2021
NPPES CertifiedMarch 30, 2021
✔ NPI 1083053672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Clinic PharmacySuppliers
Taxonomy Code3336C0002X
License✔ Licensed in VA · 0201001262
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Also ListedPharmacyTaxonomy 333600000X
800 OAK ST, Farmville, VA 23901
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Other Names 1

Doing Business AsSouthside Community Hospital, Inc.

Other Identifiers 1

Other2140792Pk

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 49D0686045

Southside Community Hospital · Farmville, VA
Active · expires Jan 2, 2027
CLIA Number49D0686045
Laboratory TypeHospital
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorDr. Dustin S. Syverston
Laboratory Phone(434) 315-2610
Laboratory LocationSouthside Community Hospital800 Oak St, Farmville, VA 23901
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 49D2109104

Southside Community Hospital Dba Centra Hospice Farmville · Farmville, VA
Active · expires Feb 17, 2028
CLIA Number49D2109104
Laboratory TypePhysician Office
Certificate Effective DateFebruary 18, 2026
Certificate Expiration DateFebruary 17, 2028
Laboratory DirectorBrenda L. Stokes
Laboratory Phone(434) 221-2057
Laboratory LocationSouthside Community Hospital Dba Centra Hospice Farmville1705 East Third Street, Farmville, VA 23901
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH C. SMITH CRNA
Nurse Anesthetist, Certified Registered
800 OAK ST
FARMVILLE, VA 23901
Prince Edward County (434) 392-8811
DR. ANOOP SINGH KOCHAR M.D.
Hospitalist
800 OAK ST
FARMVILLE, VA 23901
Prince Edward County (434) 200-6895
MRS. MARY BETH RANK APRN-BC
Clinical Nurse Specialist (Community Health/Public Health)
800 OAK ST
FARMVILLE, VA 23901
Prince Edward County (434) 315-2617
MRS. REBECCA FRANCO APN
Advanced Practice Midwife
800 OAK ST
FARMVILLE, VA 23901
Prince Edward County (443) 439-2881
MRS. PAULA SHREDL
Nurse Practitioner
800 OAK ST
FARMVILLE, VA 23901
Prince Edward County (434) 315-2880
AKEEM HOWELL
Behavior Technician
800 OAK ST
FARMVILLE, VA 23901
Prince Edward County (434) 603-1655
JAMIE FORD
Behavior Technician
800 OAK ST
FARMVILLE, VA 23901
Prince Edward County (434) 414-5571
MELISSA KATHRYN HOLMES CRNA
Nurse Anesthetist, Certified Registered
800 OAK ST
FARMVILLE, VA 23901
Prince Edward County (804) 517-0500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southside Community Hospital, Inc.'s NPI number?

The NPI number for Southside Community Hospital, Inc. is 1083053672. It was assigned to this organization in the NPPES registry on June 18, 2013.

Where is Southside Community Hospital, Inc. located?

Southside Community Hospital, Inc. is located at 800 Oak St, Farmville, VA 23901. The listed phone number is (434) 315-2740.

What is Southside Community Hospital, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

Does Southside Community Hospital, Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Southside Community Hospital, Inc. was last updated on March 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.