| Peninsula Institute For Community Health Inc | |
|
1033 28th St 2nd Floor Newport News VA 23607-4233 | |
| (757) 591-0643 | |
| (757) 591-0682 |
| Full Name | Peninsula Institute For Community Health Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1033 28th St, Newport News, Virginia |
| Authorized Official Name and Position | Angela Futrell (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7575910643 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peninsula Institute For Community Health Inc 4714 Marshall Ave Newport News VA 23607-2247 Ph: (757) 591-0643 | Peninsula Institute For Community Health Inc 1033 28th St 2nd Floor Newport News VA 23607-4233 Ph: (757) 591-0643 |
| NPI Number | 1023088077 |
|---|---|
| Provider Enumeration Date | 01/24/2006 |
| Last Update Date | 10/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023088077 | NPI | - | NPPES |
| 7687648 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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