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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