SOUTHSIDE INTERNAL MEDICINE, PC
NPI 1609065341
Health Maintenance Organization in Farmville, VA

Active since October 18, 2007
202 AGEE STREET, FARMVILLE, VA 23901(434) 392-6143(434) 392-3866 Get Directions Write a Review

NPPES record last updated: January 19, 2010. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Southside Internal Medicine, Pc NPPES

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

SOUTHSIDE INTERNAL MEDICINE, PC (NPI 1609065341) is a healthcare organization registered as a health maintenance organization in Farmville, Virginia and active in the NPI registry since October 2007. The organization lists Luke San, M.d., as its authorized official.

NPPES Registry Identity

NPI1609065341
Entity TypeOrganization
Primary Taxonomy302R00000X
Legal Business NameSOUTHSIDE INTERNAL MEDICINE, PC
Location Address202 AGEE STREETFarmville, VA 23901
Mailing Address202 Agee StreetFarmville, VA 23901 · (434) 392-6143 · Fax (434) 392-3866
Fax(434) 392-3866
Organization SubpartNo
Authorized OfficialLuke SanM.d. · (434) 392-6143
Enumeration DateOctober 18, 2007
Last NPPES UpdateJanuary 19, 2010
✔ NPI 1609065341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHealth Maintenance OrganizationManaged Care Organizations
Taxonomy Code302R00000X
License✔ Licensed in VA · 0101048599
Definition
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.
202 AGEE STREET, Farmville, VA 23901

Other Identifiers 2

Medicaid005849632VA
Medicare PIN110004643VA

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 Internal Medicine, PC's NPI number?

The NPI number for Southside Internal Medicine, PC is 1609065341. It was assigned to this organization in the NPPES registry on October 18, 2007.

Where is Southside Internal Medicine, PC located?

Southside Internal Medicine, PC is located at 202 Agee Street, Farmville, VA 23901. The listed phone number is (434) 392-6143.

What is Southside Internal Medicine, PC's specialty?

The primary specialty registered for this NPI is Health Maintenance Organization with taxonomy code 302R00000X.

When was this NPI record last updated?

The NPPES record for Southside Internal Medicine, PC was last updated on January 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.