PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC NPI 1902050875

NPI Information

NPI: 1902050875
Provider Name: PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC

Doing Business As: VIRGINIA BEACH FAMILY MEDICINE

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
940 GENERAL BOOTH BLVD
SUITE A
VIRGINIA BEACH, VA
ZIP 23451
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 1902050875. The provider is registered as an organization entity type.
The provider Is Doing Business As Virginia Beach Family Medicine.

The provider's business location address is:

940 GENERAL BOOTH BLVD
SUITE A
VIRGINIA BEACH, VA
ZIP 23451-857
Phone: (757) 591-0643
Fax: (757) 928-3239

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 49D2226352 - other - federal usar team with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/5/2008 and was last updated on 3/30/2009.

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)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C00908	MEDICARE PIN	VIRGINIA

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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