PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC NPI 1043790124

NPI Information

NPI: 1043790124
Provider Name: PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC

Doing Business As: VIRGINIA BEACH HOUSING RESOURCE CENTER HEALTH CLINIC

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
104 N WITCHDUCK RD
VIRGINIA BEACH, VA
ZIP 23462
Phone: (757) 591-0643
Get Directions

PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC is a federally qualified health center (fqhc) clinic center in Virginia Beach, VA. PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC NPI is 1043790124. The provider is registered as an organization entity type.
The provider Is Doing Business As Virginia Beach Housing Resource Center Health Clinic.

The provider's business location address is:

104 N WITCHDUCK RD
VIRGINIA BEACH, VA
ZIP 23462-506
Phone: (757) 591-0643
Fax: (757) 282-7810

The provider's authorized official is Angela Futrell .
The authorized official title is Chief Executive Officer and has the following contact phone number (757) 591-0643.

The CLIA number assigned to this NPI record is 49D1095204 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/17/2018 and was last updated on 8/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)		VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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