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15425 Warwick Blvd # D Newport News VA 23608-1579 | |
(757) 874-8400 | |
(757) 874-2295 |
Full Name | |
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Speciality | Clinic/Center |
Location | 15425 Warwick Blvd # D, Newport News, 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 |
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1033 28th St 2nd Floor Newport News VA 23607-4233 Ph: (757) 591-0643 | 15425 Warwick Blvd # D Newport News VA 23608-1579 Ph: (757) 874-8400 |
NPI Number | 1275810152 |
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Provider Enumeration Date | 11/07/2011 |
Last Update Date | 11/07/2011 |
Medicare PECOS PAC ID | 9234040148 |
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Medicare Enrollment ID | O20120215000019 |
Identifier | Type | State | Issuer |
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1275810152 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Peninsula Institute For Community Health Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1033 28th St, 2nd Floor, Newport News, VA 23607 Phone: 757-591-0643 Fax: 757-591-0682 | |
Riverside Hospital Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 856 J Clyde Morris Blvd, Suite A, Newport News, VA 23601 Phone: 757-594-4006 Fax: 757-534-5190 | |