<unavail> in Victoria, VA - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Victoria, Virginia. The current practice location for is 1508 K V Rd, Victoria, Virginia. For appointments, you can reach them via phone at (434) 696-2319. The mailing address for is Po Box 70, Victoria, Virginia and phone number is (434) 696-2165.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1104069996. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (434) 696-2319.

Contact Information


	1508 K V Rd Victoria VA 23974-2624
	(434) 696-2319
	(434) 696-2326

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	1508 K V Rd, Victoria, Virginia
Authorized Official Name and Position	April King (CEO)
Authorized Official Contact	4346962165
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 70 Victoria VA 23974-0070 Ph: (434) 696-2165	1508 K V Rd Victoria VA 23974-2624 Ph: (434) 696-2319

NPI Details:

NPI Number	1104069996
Provider Enumeration Date	04/09/2009
Last Update Date	02/07/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	0648188755
Medicare Enrollment ID	O20090518000439

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104069996	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(Virginia)	Secondary
261QM0801X	Clinic/center - Mental Health (including Community Mental Health Center)	(* (Not Available))	Secondary
261QM0801X	Clinic/center - Mental Health (including Community Mental Health Center)	(Virginia)	Secondary

Reviews and Comments

Clinic/Center in Victoria, VA

Southern Dominion Health System, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1508 K V Rd, Victoria, VA 23974 Phone: 434-696-2165 Fax: 434-696-1378
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1418 6th Street, Victoria, VA 23974 Phone: 434-696-4180 Fax: 434-696-4182
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1508 K V Road, Victoria, VA 23974 Phone: 434-696-2165 Fax: 434-696-1557
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1508 K-v Road, Victoria, VA 23974 Phone: 434-696-2165 Fax: 434-696-1378

- Medicare Primary Care in Victoria, VA