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SENTARA CHASE CITY FAMILY MEDICINE
NPI 1689772238
Legal Medicine in Chase City, VA

Active since September 20, 2006CLIA 49D0231165 · Waiver
946 N. MAIN ST, CHASE CITY, VA 23924(434) 372-5141(434) 517-3887 Get Directions Write a Review

NPPES record last updated: February 11, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sentara Chase City Family Medicine NPPES

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

SENTARA CHASE CITY FAMILY MEDICINE (NPI 1689772238) is a healthcare organization registered as a legal medicine in Chase City, Virginia and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2027 and lists Cecil F Hazelwood, Manager (sdhg), as its authorized official.

NPPES Registry Identity

NPI1689772238
Entity TypeOrganization
Primary Taxonomy173000000X
Legal Business NameDOMINION HEALTH MEDICAL ASSOC
Location Address946 N. MAIN STChase City, VA 23924
Mailing AddressP.o. Box 860South Boston, VA 24592 · (434) 517-3513 · Fax (434) 517-3887
Phone(434) 372-5141
Fax(434) 517-3887
Organization SubpartNo
Authorized OfficialCecil F HazelwoodManager (sdhg) · (434) 517-3515
Enumeration DateSeptember 20, 2006
Last NPPES UpdateFebruary 11, 2015
✔ NPI 1689772238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLegal MedicineOther Service Providers
Taxonomy Code173000000X
License✔ Licensed in VA · 0101032102
Definition
The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.
946 N. MAIN ST, Chase City, VA 23924
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Other Names 1

Doing Business AsSentara Chase City Family Medicine

Other Identifiers 3

Medicare ID-Type Unspecified493823VA · Rural Health
Medicare ID-Type UnspecifiedC00611VA · Trailblazer Group #
Medicaid007610114VA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

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 Waiver 49D0231165

Sentara Chase City Family Medicine · Chase City, VA
Active · expires Aug 31, 2027
CLIA Number49D0231165
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2025
Certificate Expiration DateAugust 31, 2027
Laboratory DirectorPablo C. Souza
Laboratory Phone(434) 517-3216
Laboratory LocationSentara Chase City Family Medicine946 North Main Street, Chase City, VA 23924
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Dominion Health Medical Assoc's NPI number?

The NPI number for Dominion Health Medical Assoc is 1689772238. It was assigned to this organization in the NPPES registry on September 20, 2006. The provider is doing business as Sentara Chase City Family Medicine.

Where is Dominion Health Medical Assoc located?

Dominion Health Medical Assoc is located at 946 N. Main St, Chase City, VA 23924. The listed phone number is (434) 372-5141.

What is Dominion Health Medical Assoc's specialty?

The primary specialty registered for this NPI is Legal Medicine with taxonomy code 173000000X.

Does Dominion Health Medical Assoc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D0231165) is associated with this NPI, valid through August 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dominion Health Medical Assoc was last updated on February 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.