LUNENBURG MEDICAL CENTER – NPI #1497969091
Clinic/Center

LUNENBURG MEDICAL CENTER is an AHC clinic located in VICTORIA, VA. NPPES has assigned the NPI number 1497969091 to LUNENBURG MEDICAL CENTER on May 10, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LUNENBURG MEDICAL CENTER” is a dba name, the actual legal business name for this organization is SOUTHERN DOMINION HEALTH SYSTEM, INC.. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 2 years ago on Feb 07, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LUNENBURG MEDICAL CENTER below.

NPI Profile for
SOUTHERN DOMINION HEALTH SYSTEM, INC.

NPI Number
1497969091
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTHERN DOMINION HEALTH SYSTEM, INC.
Doing Business As (dba): LUNENBURG MEDICAL CENTER
Primary location
1508 K-V ROAD
VICTORIA, VA 23974
Phone: (434) 696-2165 Fax: (434) 696-1378
Mailing address
PO BOX 70
VICTORIA, VA 23974-0070
Phone: (434) 696-2165 Fax: (434) 696-1378
Organization Subpart
Yes - LUNENBURG MEDICAL CENTER is subpart of another organization.
Authorized Official
APRIL KING
CEO
Phone: (434) 696-2165
Updated
Certification Date
Feb 07, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for LUNENBURG MEDICAL CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidVA007691084
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.