PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC NPI 1073872321

NPI Information

PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC is a federally qualified health center (fqhc) clinic center in Chesapeake, VA. PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC NPI is 1073872321. The provider is registered as an organization entity type.
The provider Is Doing Business As Chesapeake Community Health Center.

The provider's business location address is:

490 LIBERTY ST
CHESAPEAKE, VA
ZIP 23324-618
Phone: (757) 591-0643
Fax: (757) 591-0682

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

The CLIA number assigned to this NPI record is 49D2043223 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/8/2012 and was last updated on 7/22/2013.

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:

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