| Virginia Beach Housing Resource Center Health Clinic | |
|
104 N Witchduck Rd Virginia Beach VA 23462-6506 | |
| (757) 591-0643 | |
| (757) 282-7810 |
| Full Name | Virginia Beach Housing Resource Center Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 104 N Witchduck Rd, Virginia Beach, 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 |
|---|---|
| Virginia Beach Housing Resource Center Health Clinic 1033 28th St Newport News VA 23607-4233 Ph: (757) 591-0643 | Virginia Beach Housing Resource Center Health Clinic 104 N Witchduck Rd Virginia Beach VA 23462-6506 Ph: (757) 591-0643 |
| NPI Number | 1043790124 |
|---|---|
| Provider Enumeration Date | 08/17/2018 |
| Last Update Date | 08/17/2018 |
| Medicare PECOS PAC ID | 9234040148 |
|---|---|
| Medicare Enrollment ID | O20211122002818 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043790124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Virginia) | Primary |
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