AMELIA HEALTHCARE CENTER
NPI 1700099512
Clinic/Center - Federally Qualified Health Center (FQHC) in Amelia Court House, VA

Q: What is Southern Dominion Health System, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since May 08, 2007CLIA 49D1009858 · Microscopy

8920 OTTERBURN RD, AMELIA COURT HOUSE, VA 23002(804) 561-5150(804) 561-6643 Get Directions Write a Review

NPPES record last updated: February 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 7, 2024, Nov 25, 2015 (2 updates tracked since 2015).

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About Amelia Healthcare Center NPPES

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

AMELIA HEALTHCARE CENTER (NPI 1700099512) is a healthcare organization registered as a federally qualified health center (fqhc) in Amelia Court House, Virginia and active in the NPI registry since May 2007. The organization holds a CLIA Microscopy certificate valid through February 26, 2027 and lists April King, Ceo, as its authorized official.

NPPES Registry Identity

NPI1700099512

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameSOUTHERN DOMINION HEALTH SYSTEM, INC.

Location Address8920 OTTERBURN RDAmelia Court House, VA 23002-4854

Mailing AddressPo Box 70Victoria, VA 23974-0070 · (434) 696-2165 · Fax (434) 696-1378

Phone(804) 561-5150

Fax(804) 561-6643

Organization SubpartYes

Authorized OfficialApril KingCeo · (434) 696-2165

Enumeration DateMay 8, 2007

Last NPPES UpdateFebruary 7, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 7, 2024

✔ NPI 1700099512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

8920 OTTERBURN RD, Amelia Court House, VA 23002

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Other Names 1

Doing Business AsAmelia Healthcare Center

Other Identifiers 1

Medicaid010192862VA

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 for Provider-Performed Microscopy Procedures (PPMP) 49D1009858

Amelia Healthcare Center-Sdhs Inc · Amelia, VA

Active · expires Feb 26, 2027

CLIA Number49D1009858

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateFebruary 27, 2025

Certificate Expiration DateFebruary 26, 2027

Laboratory DirectorMargaret K. Inge

Laboratory Phone(434) 696-2165

Laboratory LocationAmelia Healthcare Center-Sdhs Inc8920 Otterburn Road, Amelia, VA 23002

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Southern Dominion Health System, Inc.'s NPI number?

The NPI number for Southern Dominion Health System, Inc. is 1700099512. It was assigned to this organization in the NPPES registry on May 8, 2007. The provider is doing business as Amelia Healthcare Center.

Where is Southern Dominion Health System, Inc. located?

Southern Dominion Health System, Inc. is located at 8920 Otterburn Rd, Amelia Court House, VA 23002. The listed phone number is (804) 561-5150.

What is Southern Dominion Health System, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Southern Dominion Health System, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 49D1009858) is associated with this NPI, valid through February 26, 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 Southern Dominion Health System, Inc. was last updated on February 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.