| Peninsula Institute For Community Health Inc | |
|
490 Liberty St Chesapeake VA 23324-2618 | |
| (757) 591-0643 | |
| (757) 591-0682 |
| Full Name | Peninsula Institute For Community Health Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 490 Liberty St, Chesapeake, Virginia |
| Authorized Official Name and Position | Angela Futrell (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7575910643 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peninsula Institute For Community Health Inc 1033 28th St Newport News VA 23607-4233 Ph: (866) 717-9794 | Peninsula Institute For Community Health Inc 490 Liberty St Chesapeake VA 23324-2618 Ph: (757) 591-0643 |
| NPI Number | 1073872321 |
|---|---|
| Provider Enumeration Date | 05/08/2012 |
| Last Update Date | 07/22/2013 |
| Medicare PECOS PAC ID | 9234040148 |
|---|---|
| Medicare Enrollment ID | O20130819000603 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073872321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Convenient Care Of Tidewater Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 Gainsborough Sq, Suite 103, Chesapeake, VA 23320 Phone: 757-549-0222 | |
Maryview Hospital Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2605 Moses Grandy Trl, Suite D, Chesapeake, VA 23323 Phone: 757-485-3600 Fax: 757-485-9458 | |
Patient First Richmond Medical Group Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 705 N. Battlefield Blvd, Chesapeake, VA 23320 Phone: 757-547-0688 | |
Internists Of Churchland, Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4041 Taylor Rd, Suite G, Chesapeake, VA 23321 Phone: 757-484-5828 Fax: 757-484-4371 | |
Advantage Family Care, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3105 American Legion Rd Ste A, Chesapeake, VA 23321 Phone: 757-686-3999 Fax: 757-686-3015 | |
Virginia Advanced Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Medical Pkwy Ste 306, Chesapeake, VA 23320 Phone: 757-410-0672 |