| Hampton Newport News Community Services Board | |
|
300 Medical Dr Hampton VA 23666-1765 | |
| (757) 788-0400 | |
| (757) 788-0969 |
| Full Name | Hampton Newport News Community Services Board |
|---|---|
| Speciality | Clinic/Center |
| Location | 300 Medical Dr, Hampton, Virginia |
| Authorized Official Name and Position | Angela Futrell (CEO) |
| Authorized Official Contact | 7575910643 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hampton Newport News Community Services Board 1033 28th St 2nd Floor Newport News VA 23607-4233 Ph: (757) 591-0643 | Hampton Newport News Community Services Board 300 Medical Dr Hampton VA 23666-1765 Ph: (757) 788-0400 |
| NPI Number | 1528446507 |
|---|---|
| Provider Enumeration Date | 05/11/2015 |
| Last Update Date | 12/28/2023 |
| Medicare PECOS PAC ID | 9234040148 |
|---|---|
| Medicare Enrollment ID | O20150812007902 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528446507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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