| Chesapeake Community Health Center | |
|
490 Liberty St Chesapeake VA 23324-2618 | |
| (757) 591-0643 | |
| (757) 591-0682 |
| Full Name | Chesapeake Community Health Center |
|---|---|
| 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 |
|---|---|
| Chesapeake Community Health Center 1033 28th St Newport News VA 23607-4233 Ph: (866) 717-9794 | Chesapeake Community Health Center 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 |
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