| Peninsula Institute For Community Health Inc | |
|
9294 Warwick Blvd Newport News VA 23607-1535 | |
| (757) 591-0643 | |
| Not Available |
| Full Name | Peninsula Institute For Community Health Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9294 Warwick Blvd, Newport News, Virginia |
| Authorized Official Name and Position | Angela Futrell (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7575910643 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peninsula Institute For Community Health Inc 1033 28th St Fl 2 Newport News VA 23607-4233 Ph: (757) 591-0643 | Peninsula Institute For Community Health Inc 9294 Warwick Blvd Newport News VA 23607-1535 Ph: (757) 591-0643 |
| NPI Number | 1538725668 |
|---|---|
| Provider Enumeration Date | 05/14/2019 |
| Last Update Date | 05/14/2019 |
| Medicare PECOS PAC ID | 9234040148 |
|---|---|
| Medicare Enrollment ID | O20200903003774 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538725668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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