Organization
PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC
Active
Other names
Main Street Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA FUTRELL (CHIEF EXECUTIVE OFFICER)
(757) 925-1866
Entity
Organization
Contact information
Practice address
157 NORTH MAIN STREET SUITE A, SUFFOLK, VA 23434
(757) 925-1866
(757) 928-0906
Mailing address
1033 28TH ST, 2ND FLOOR, NEWPORT NEWS, VA 23607-4233
(757) 591-0643
(757) 591-0682
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7687648
—
VA
Enumeration date
03/13/2007
Last updated
11/01/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us