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Organization
NORFOLK COMMUNITY HEALTH CENTER INC
Active
Organization
NORFOLK COMMUNITY HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP DANIEL BROOKS ADM (PRESIDENT)
(757) 623-0095
Entity
Organization
Contact information
Practice address
1401 TIDEWATER DRIVE, STE 1, NORFOLK, VA 23504
(757) 623-0095
(757) 623-1203
Mailing address
1401 TIDEWATER DRIVE, STE 1, NORFOLK, VA 23504
(757) 623-0095
(757) 623-1203
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131851
OPTIMA
VA
01
—
176497
ANTHEM
VA
05
—
5902199
—
NC
Enumeration date
11/08/2006
Last updated
09/11/2025
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