| Chincoteague Island Community Health Center | |
|
4049 Main St Chincoteague VA 23336-2406 | |
| (757) 336-3682 | |
| (757) 336-3703 |
| Full Name | Chincoteague Island Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 4049 Main St, Chincoteague, Virginia |
| Authorized Official Name and Position | Jeannette Edwards (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7574140400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chincoteague Island Community Health Center 20280 Market St Onancock VA 23417-1331 Ph: (757) 414-0400 | Chincoteague Island Community Health Center 4049 Main St Chincoteague VA 23336-2406 Ph: (757) 336-3682 |
| NPI Number | 1598895542 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 02/22/2023 |
| Medicare PECOS PAC ID | 2668380106 |
|---|---|
| Medicare Enrollment ID | O20021029000032 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598895542 | NPI | - | NPPES |
| 007604378 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Island Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6295 Teal Ln, Island Family Medicine, Chincoteague, VA 23336 Phone: 757-336-2200 Fax: 757-336-2211 | |
Island Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6295 Teal Ln, Chincoteague, VA 23336 Phone: 757-336-2200 Fax: 757-336-2211 |