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

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Chesapeake, Virginia. The current practice location for is 490 Liberty St, Chesapeake, Virginia. For appointments, you can reach them via phone at (757) 591-0643. The mailing address for is 1033 28th St, Newport News, Virginia and phone number is (866) 717-9794.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1073872321. 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 (757) 591-0643.

Contact Information


	490 Liberty St Chesapeake VA 23324-2618
	(757) 591-0643
	(757) 591-0682

Map and Direction

Primary Care Clinic Profile

Full Name
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 and Practice Location

Mailing Address	Practice Location Address
1033 28th St Newport News VA 23607-4233 Ph: (866) 717-9794	490 Liberty St Chesapeake VA 23324-2618 Ph: (757) 591-0643

NPI Details:

NPI Number	1073872321
Provider Enumeration Date	05/08/2012
Last Update Date	07/22/2013

Medicare PECOS Information:

Medicare PECOS PAC ID	9234040148
Medicare Enrollment ID	O20130819000603

Medical Identifiers

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

Identifier	Type	State	Issuer
1073872321	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Reviews and Comments

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- Medicare Primary Care in Chesapeake, VA