Organization
PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC
Active
Organization
PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC
Active
Other names
Warwick Boulevard Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA FUTRELL (CHIEF EXECUTIVE OFFICER)
(757) 591-0643
Entity
Organization
Contact information
Practice address
9294 WARWICK BLVD, NEWPORT NEWS, VA 23607-1535
(757) 591-0643
Mailing address
1033 28TH ST FL 2, NEWPORT NEWS, VA 23607-4233
(757) 591-0643
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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