NPIMap

Southern Dominion Health System Inc

A Medicare group practice based in Victoria, VA: 7 NPIs enrolled under one PECOS associate control ID (PAC ID 0648188755), with 25 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0648188755The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
VA
Enrollments
6
Group size
16 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
10In 6 places

Enrollment records 6

Enrollment IDStateProvider typeNPI
O20040611000631 VA Part B Supplier - Clinic/Group Practice 1295706588
O20080520000768 VA Part A Provider - Federally Qualified Health Center (FQHC) 1497969091
O20050516000658 VA Part A Provider - Federally Qualified Health Center (FQHC) 1700099512
O20021223000007 VA Part A Provider - Federally Qualified Health Center (FQHC) 1982817706
O20080110000518 VA Part A Provider - Federally Qualified Health Center (FQHC) 1487867206
O20090518000439 VA Part A Provider - Federally Qualified Health Center (FQHC) 1104069996

NPIs in this group 7

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 25

Clinicians who reassign their Medicare benefits to this group (25) or whom Care Compare lists as members (16).

Sources for this page